Active NPI
Beau G Bortel, DPM
- Podiatrist
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003428
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00327423 | Other | OH | RAILROAD MEDICARE |
| 2678697 | Medicaid | OH |
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
Enrollment records 1
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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 110 |
| Removal of skin lesions | 62 |
| Removal of nail tissue | 1054 |
| Removal or shaving of skin growth | 572 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatric Associates of Northwest Ohio, LLC | Current | Accepting new patients | |
| Podiatric Associates of Northwest Ohio, LLC | Podiatrist | Current | Accepting new patients |
| Podiatric Associates of Northwest Ohio, Inc. | Podiatrist | Current | Accepting new patients |
| Gentle Footcare LLC | Current | Accepting new patients | |
| Gentle Footcare LLC | Current | Accepting new patients | |
| Ohio Podiatric Physicians and Surgeons Group, LLC | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Columbus, OH
- NPI 1710999792
-
- Podiatrist
- Maumee, OH
- NPI 1588664296
-
- Podiatrist
- Maumee, OH
- NPI 1942499504
-
- Primary Podiatric Medicine Podiatrist
- Maumee, OH
- NPI 1508264680
-
- Durable Medical Equipment & Medical Supplies
- Worthington, OH
- NPI 1992406490
-
- Podiatrist
- Wauseon, OH
- NPI 1700897113
-
- Foot & Ankle Surgery Podiatrist
- Toledo, OH
- NPI 1396535191
-
dba Podiatric Associates of NW Ohio, Inc
- Podiatrist
- Toledo, OH
- NPI 1598776981
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
dba Wood County Hospital
- General Acute Care Hospital
- Bowling Green, OH
- NPI 1790751253
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.