Wobo Bekwelem, MD
Individual provider Active NPI Interventional Cardiology Physician · Bemidji, MN
NPI 1962720136 · NPPES record last updated Apr 13, 2021
Key facts
- NPI
- 1962720136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 10188154-1205 (UT)
- Practice address
- 1300 Anne St NW
Bemidji, MN 56601-5103 - Phone
- (218) 333-5000
- Fax
- (218) 333-5360
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Memorial Health Care
Sanford Bismarck
Prairie Lakes Health Care System Inc
Wesley Physician Services LLC
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in UT, WY, MN, SD, MS, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Lakes Health Care System Inc | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Prairie Lakes Health Care System Inc | Current |
Accepting new patients | |
| Wesley Physician Services LLC | Cardiovascular Disease | Current |
Accepting new patients |
| North Memorial Health Care | Current |
Accepting new patients | |
| Physician Group of Utah Inc | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| Sanford Bismarck | 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
Ste 200
Robbinsdale, MN 55422
Phone (763) 520-2000
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422
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
2751 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-6199
1577 Dewar Dr
Ste 8
Rock Springs, WY 82901
Phone (307) 362-0707
Interoperability endpoints
- https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
- wbekwelem164560@direct.northmemorial.com
Specialties & licenses
| 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 | Yes |
Addresses
Primary practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3001846 | Medicaid | UT |
Other providers in Bemidji, MN
- McKayla R Beaulieu
- Colleen Rae Beck
- Erie Beehler
- Beevor Psychiatry Services, Inc.
- Laurel Dawn Beier
- 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.
All providers in Bemidji, MN · Interventional Cardiology 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 Apr 13, 2021. 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.