Sanggyu Bae, MD
Individual provider Active NPI Hematology & Oncology Physician · Bemidji, MN
NPI 1831485077 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1831485077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 74582 (MN)
- Practice address
- 1233 34TH St NW
Bemidji, MN 56601-5112 - Phone
- (218) 333-5522
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dana-Farber Cancer Institute, Inc.
Practice addresses (Care Compare)
40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (877) 332-4645
Hospital & facility affiliations
- Dana-Farber Cancer Institute
- Elliot Hospital
- Catholic Medical Center
- Wentworth-Douglass Hospital
- Brigham and Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in IA, IL, MN, NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170731003489 | IA | Practitioner - Internal Medicine |
3779808399 | Reassigns benefits to 2 organizations |
| I20231018001501 | IL | Practitioner - Hematology/Oncology |
3779808399 | Reassigns benefits to 1 organization |
| I20231108002020 | MN | Practitioner - Hematology/Oncology | 3779808399 | Reassigns benefits to 1 organization |
| I20241104003744 | NH | Practitioner - Medical Oncology |
3779808399 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036166811 | IL | MD | Hematology & Oncology Physician |
| 74582 | MN | MD | Hematology & Oncology Physician |
| MD482988 | PA | MD | Hematology & Oncology Physician |
| 44102 | IA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Medical Oncology | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Morris Hospital | Current |
Accepting new patients | |
| Morris Hospital | Current |
Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current |
Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Internal Medicine | Current |
Accepting new patients |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
725 School St
Ste A
Morris, IL 60450
150 W High St
Morris, IL 60450
Phone (815) 942-2129
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
40 Buttrick Rd
#B
Londonderry, NH 03053
40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
2221 Noll Dr
Fl 1
Lancaster, PA 17603
Phone (717) 715-1001
Interoperability endpoints
- bae.sanggyu.dfci@direct.partners.masshiway.net
- sbae799631@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD482988 | PA | |
| Hematology & Oncology Physician | 207RH0003X | 036166811 | IL | |
| Medical Oncology Physician | 207RX0202X | 44102 | IA | |
| Hematology & Oncology Physician | 207RH0003X | 74582 | MN | Yes |
Addresses
Primary practice location
1233 34TH St NW
Bemidji, MN 56601-5112
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
Other practice location 2
150 W High St
Morris, IL 60450-1497
Phone (815) 942-2932
Other practice location 3
4305 W Medical Center Dr Ste 1
McHenry, IL 60050-8425
Phone (815) 759-8100
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sanggyu.bae@trinityhealthia.medicity.net | Direct |
Other providers in Bemidji, MN
- Autumn Hills of Bemidji, Inc.
- Kimberly Jean Sletta Avenson
- Ethan Axtman
- Tiffany Alicia Axtman
- Alexandra Patricia Bader
- Bonnie Margaret Bailey
- Prabhdeep Kaur Bajwa
- Baker Park
- Sarah Lee Baker
- Jonetta H Bakke
All providers in Bemidji, MN · Hematology & Oncology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.