Individual provider Active NPI

Beau G Bortel, DPM

  • Podiatrist
  • Maumee, OH
National Provider Identifier
1952415101
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003428 Issued in OH
Practice address
5757 Monclova Rd
Suite 5
Maumee, OH 43537-1863
Phone
(419) 893-5757
Fax
(419) 893-5399
NPI assigned
Aug 17, 2006
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003428 OH Primary

Addresses

Primary practice location

5757 Monclova Rd
Suite 5
Maumee, OH 43537-1863

Mailing address

5757 Monclova Rd Ste 5
Maumee, OH 43537-1863
Phone (419) 893-5757

Other practice location 1

3905 W Sylvania Ave
Toledo, OH 43623-4426
Phone (513) 489-2400

Other practice location 2

1414 S Byrne Rd
Toledo, OH 43614-2363
Phone (513) 729-4455

Other practice location 3

609 Ford St
Maumee, OH 43537-1947
Phone (419) 893-5539

Other identifiers 2

IdentifierTypeStateIssuer
P00327423OtherOHRAILROAD MEDICARE
2678697MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000412 OH Practitioner - Podiatry 9638188006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gentle Footcare LLCGroup PAC ID 0345152955, 18 clinicians

Practice addresses (Care Compare)

4913 Harroun Rd
Sylvania, OH 43560-2197
Phone (419) 885-4471

609 Ford St
Maumee, OH 43537-1947
Phone 4198935539228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue110
Removal of skin lesions62
Removal of nail tissue1054
Removal or shaving of skin growth572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Associates of Northwest Ohio, LLC CurrentSince Jan 1, 2025 Accepting new patients
Podiatric Associates of Northwest Ohio, LLC Podiatrist Current Accepting new patients
Podiatric Associates of Northwest Ohio, Inc. Podiatrist CurrentSince Jan 1, 2025 Accepting new patients
Gentle Footcare LLC CurrentSince Dec 1, 2024 Accepting new patients
Gentle Footcare LLC CurrentSince Dec 1, 2024 Accepting new patients
Ohio Podiatric Physicians and Surgeons Group, LLC PastSince Jul 1, 2006 Accepting new patients
Podiatric Associates of Northwest Ohio, LLC Podiatrist Past Accepting new patients

Locations

3255 E Livingston Ave
Columbus, OH 43227
Phone (614) 239-0399

4092 Gantz Rd
Grove City, OH 43123
Phone (614) 321-7196

609 Ford St
Maumee, OH 43537
Phone (419) 893-5539

4913 Harroun Rd
Sylvania, OH 43560
Phone (419) 841-3003

1414 S Byrne Rd
Toledo, OH 43614
Phone (419) 381-9977

3905 W Sylvania Ave
Toledo, OH 43623
Phone (419) 472-7177

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1952415101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD STE 5",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-893-5757",
            "fax_number": "419-893-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 MONCLOVA RD",
            "address_2": "SUITE 5",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371863",
            "telephone_number": "419-893-5757",
            "fax_number": "419-893-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 W Sylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234426",
            "country_code": "US",
            "telephone_number": "513-489-2400",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S Byrne Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142363",
            "country_code": "US",
            "telephone_number": "513-729-4455",
            "fax_number": "513-489-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Ford St",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371947",
            "country_code": "US",
            "telephone_number": "419-893-5539",
            "fax_number": "419-893-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORTEL",
        "first_name": "BEAU",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00327423",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2678697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.