Individual provider Active NPI

Michael Peter Bellino, MD

  • Emergency Medicine Physician
  • Farmington, ME
National Provider Identifier
1780670950
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD28630 Issued in ME
Practice address
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone
(207) 778-6031
Fax
(207) 779-2632
NPI assigned
Sep 23, 2005
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA05815700 NJ
Emergency Medicine Physician 207P00000X 1062722A IN
Emergency Medicine Physician 207P00000X 036083583 IL
Emergency Medicine Physician 207P00000X 44817-020 WI
Emergency Medicine Physician 207P00000X MD28630 ME Primary

Addresses

Primary practice location

111 Franklin Health CMNS
Farmington, ME 04938-6144

Mailing address

7259 S Bingham Junction Blvd
Midvale, UT 84047-4860
Phone (801) 930-3000

Other practice location 1

3001 Green Bay Rd
North Chicago VA Med Ctr
North Chicago, IL 60064-3048
Phone (224) 610-5505

Other identifiers 2

IdentifierTypeStateIssuer
34276700MedicaidWI
200846120MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, WI, ME4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040331000405 IL Practitioner - Emergency Medicine 1153224431 Reassigns benefits to 2 organizations
I20070418000252 IN Practitioner - Emergency Medicine 1153224431 Reassigns benefits to 1 organization
I20090602000566 WI Practitioner - Emergency Medicine 1153224431 Reassigns benefits to 5 organizations
I20241217003826 ME Practitioner - Emergency Medicine 1153224431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Wisconsin Emergency Associates SCGroup PAC ID 3274561055, 47 clinicians

Practice addresses (Care Compare)

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5566

5605 E Rockton Rd
Roscoe, IL 61073-7601
Phone (815) 525-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036083583ILMDEmergency Medicine Physician
1062722AINMDEmergency Medicine Physician
25MA05815700NJMDEmergency Medicine Physician
44817-020WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 26, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Oct 31, 2024 Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Nov 22, 2022 Accepting new patients
Southern Wisconsin Emergency Associates SC Emergency Medicine CurrentSince Sep 1, 2011 Accepting new patients
Central Maine Medical Center CurrentSince Oct 31, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Nov 22, 2022 Accepting new patients
Mainehealth CurrentSince Feb 26, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Emergency Medicine CurrentSince Nov 22, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 22, 2022 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Mainehealth Current Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine Past Accepting new patients
Ihc-Libertyville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emergency Care Physician Services HP, LTD. Emergency Medicine Past Accepting new patients
Unimed, LTD Past Accepting new patients
Acute Care Specialists II, LTD Emergency Medicine Past Accepting new patients
Midway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients

Locations (25 of 41)

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

29980 Network Pl
Chicago, IL 60673

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: mbellino896886@direct.mmc.mainehealth.org

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1780670950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7259 S BINGHAM JUNCTION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474860",
            "telephone_number": "801-930-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144",
            "telephone_number": "207-778-6031",
            "fax_number": "207-779-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Green Bay Rd",
            "address_2": "North Chicago VA Med Ctr",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643048",
            "country_code": "US",
            "telephone_number": "224-610-5505",
            "fax_number": "224-610-2918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLINO",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05815700",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "1062722A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036083583",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "44817-020",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD28630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34276700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200846120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.