Active NPI
Wobo Bekwelem, MD
- Interventional Cardiology Physician
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 10188154-1205
- 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, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 6
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
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
- North Memorial Health Hospital
- Sanford Medical Center Bismarck
- Maple Grove Hospital
- Merit Health Wesley
- Prairie Lakes Healthcare System, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| Physician Group of Utah Inc | Current | Accepting new patients | |
| Wesley Physician Services LLC | Cardiovascular Disease | Current | Accepting new patients |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Physician Group of Utah Inc | Cardiovascular Disease | Current | 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
- https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
- 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.
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
dba Sanford Watertown Specialty Clinic
- Rural Acute Care Hospital
- Watertown, SD
- NPI 1720166002
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1538200209
Cardiovascular Disease
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
- Cardiovascular Disease Physician
- Rock Springs, WY
- NPI 1982223848
-
dba Sanford Health Castlewood Clinic
- Family Medicine Physician
- Castlewood, SD
- NPI 1578369070
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
dba University of Utah Hospital Pathology Department
- Anatomic Pathology & Clinical Pathology Physician
- Salt Lake City, UT
- NPI 1912301714
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
Hospital
-
dba North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
Hospital
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
dba Merit Health Wesley
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1841241841
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
- McKayla R Beaulieu, SP
- Colleen Rae Beck, LICSW
- Erie Beehler
- Beevor Psychiatry Services, Inc.
- Laurel Dawn Beier, RN
- Beltrami Area Service Collaborative
- Bemidji Ambulance Service, Inc.
- Bemidji Area Program for Recovery Inc. Steps to Freedom Program
- Bemidji Area Program for Recovery, Inc.
- Bemidji Area Program for Recovery, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.