Individual provider Active NPI

Wobo Bekwelem, MD

  • Interventional Cardiology Physician
  • Bemidji, MN
National Provider Identifier
1962720136
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
10188154-1205 Issued in UT
Practice address
1300 Anne St NW
Bemidji, MN 56601-5103
Phone
(218) 333-5000
Fax
(218) 333-5360
NPI assigned
May 12, 2010
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10188154-1205 UT
Interventional Cardiology Physician 207RI0011X 56039 MN
Interventional Cardiology Physician 207RI0011X 10188154-1205 UT Primary

Addresses

Primary practice location

1300 Anne St NW
Bemidji, MN 56601-5103

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, MN, SD, MS, ND6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20170124001156 UT Practitioner - Interventional Cardiology 4385926583 Reassigns benefits to 2 organizations
I20180208002372 WY Practitioner - Interventional Cardiology 4385926583
I20200930000944 MN Practitioner - Interventional Cardiology 4385926583 Reassigns benefits to 1 organization
I20240419002268 SD Practitioner - Interventional Cardiology 4385926583 Reassigns benefits to 1 organization
I20251102000123 MS Practitioner - Interventional Cardiology 4385926583 Reassigns benefits to 1 organization
I20251128000266 ND Practitioner - Interventional Cardiology 4385926583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

15450 Hwy 7
Minnetonka, MN 55345-3522

1700 Hwy 25 N
Buffalo, MN 55313-1930
Phone (763) 581-5400

1833 E Bismarck Expressway
Sanford Health Chiropractic
Bismarck, ND 58501-4436
Phone (701) 323-5222

222 N 7TH St
Bismarck, ND 58501-4436
Phone (701) 323-6000

2600 39TH Ave NE
Minneapolis, MN 55421-4379
Phone (651) 430-3800

300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

3435 W Broadway Ave
Robbinsdale, MN 55422-2969
Phone (763) 581-2800

401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 882-7000

4181 108TH Ave NE
Blaine, MN 55449-7439
Phone (651) 430-3800

480 Osborne Rd NE
Suite 100
Fridley, MN 55432-2781
Phone (763) 581-2273

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155

5615 Xerxes Ave N
Brooklyn Center, MN 55430-2819
Phone (763) 581-2273

800 Freeport Ave NW
Elk River, MN 55330-2723
Phone (763) 581-2273

8100 42ND Ave N
New Hope, MN 55427-1107
Phone (763) 581-2273

8301 Golden Valley Rd
Suite 100
Golden Valley, MN 55427-4469
Phone (763) 581-2273

9855 Hospital Dr
Maple Grove, MN 55369-4648

9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Physician Group of Utah Inc CurrentSince Aug 20, 2019 Accepting new patients
Wesley Physician Services LLC Cardiovascular Disease CurrentSince Sep 1, 2025 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Apr 5, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Mar 10, 2018 Accepting new patients
Prairie Lakes Health Care System Inc CurrentSince Apr 5, 2024 Accepting new patients
Sanford Bismarck CurrentSince Nov 21, 2025 Accepting new patients
North Memorial Health Care CurrentSince Oct 1, 2020 Accepting new patients
North Memorial Health Care Current Accepting new patients
University of Utah Adult Services CurrentSince Mar 10, 2018 Accepting new patients
Physician Group of Utah Inc Cardiovascular Disease CurrentSince May 1, 2020 Accepting new patients

Locations

9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3300 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 520-2000

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422

300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

5979 S Fashion Blvd
Salt Lake Cty, UT 84107
Phone (801) 263-0140

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3570 W 9000 S
Ste 110
West Jordan, UT 84088
Phone (208) 201-1249

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

196 Arrowhead Dr
Ste 7
Evanston, WY 82930
Phone (307) 783-8364

1577 Dewar Dr
Ste 8
Rock Springs, WY 82901
Phone (307) 362-0707

2751 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-6199

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
  • Direct secure messaging: wbekwelem164560@direct.northmemorial.com

Organizations & group practices 11

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 7

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1962720136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015103",
            "telephone_number": "218-333-5000",
            "fax_number": "218-333-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKWELEM",
        "first_name": "WOBO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "10188154-1205",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MN",
            "license": "56039",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "10188154-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.