Active NPI
Michael Peter Bellino, MD
- Emergency Medicine Physician
- Farmington, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD28630
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34276700 | Medicaid | WI | |
| 200846120 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, WI, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036083583 | IL | MD | Emergency Medicine Physician |
| 1062722A | IN | MD | Emergency Medicine Physician |
| 25MA05815700 | NJ | MD | Emergency Medicine Physician |
| 44817-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Cep America - Illinois, LLP | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Southern Wisconsin Emergency Associates SC | Emergency Medicine | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin | Emergency Medicine | Current | Accepting new patients |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | 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 | Current | 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
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- 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.
-
- Emergency Medicine Physician
- Beloit, WI
- NPI 1568538189
IL
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba MaineHealth Franklin Hospital
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
dba Aspirus Medford Hospital
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
dba Aspirus Elcho Clinic
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
Emergency Medicine
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Manchester Care Center
- Multi-Specialty Clinic/Center
- Manchester, ME
- NPI 1598411175
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beloit Memorial Hospital
- General Acute Care Hospital
- Beloit, WI
- NPI 1982780094
-
- Critical Access Hospital
- Newport, VT
- NPI 1144251059
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.