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BELLIN HEALTH INFECTIOUS DISEASE CLINIC
NPI 1073063681
Internal Medicine - Infectious Disease in Green Bay, WI

Active since October 06, 2016CLIA Certified · 2 labs
704 S WEBSTER AVE, SUITE 501, GREEN BAY, WI 54301(920) 445-7226(920) 445-7229 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bellin Health Infectious Disease Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLIN HEALTH INFECTIOUS DISEASE CLINIC (NPI 1073063681) is a healthcare organization registered as an infectious disease in Green Bay, Wisconsin and active in the NPI registry since October 2016. The organization holds 2 active CLIA laboratory certificates and lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1073063681
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameBELLIN MEMORIAL HOSPITAL INC
Location Address704 S WEBSTER AVE, SUITE 501Green Bay, WI 54301-3528
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229
Phone(920) 445-7226
Fax(920) 445-7229
Organization SubpartNo
Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 433-7864
Enumeration DateOctober 6, 2016
Last NPPES UpdateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1073063681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
704 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Doing Business AsBellin Health Infectious Disease Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bellin Health Infectious Disease Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

873

Medicare enrollment records show 873 clinicians reassign Medicare billing to Bellin Health Infectious Disease Clinic, which bills Medicare for the services they deliver. Of these, 141 practice at this address and 549 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Nurse Practitioner224
Physical Therapist in Private Practice118
Family Practice57
Certified Registered Nurse Anesthetist (CRNA)41
Mental Health Counselor35
Clinical Social Worker32
Neurology29
Cardiovascular Disease (Cardiology)23
42 other specialties314

Nearest to this location (20)

See all 873
Mazen Al Khalisy, MD
Internal Medicine
NPI 1417931106
704 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3784
✔ PECOS✔ Accepts MedicareSame address
Melissa Anderson, NP
Nurse Practitioner
NPI 1235444225
704 S WEBSTER AVE SUITE 300
Green Bay, WI 54301
(920) 468-3444
✔ PECOS✔ Accepts MedicareSame address
Alisha Anschutz, D-PT
Physical Therapist in Private Practice
NPI 1962197863
704 S WEBSTER AVE STE 201
Green Bay, WI 54301
(920) 433-3410
✔ Accepts MedicareSame address
David Brooks, M.D.
Infectious Disease
NPI 1407993066
704 S WEBSTER AVE STE 501
Green Bay, WI 54301
(920) 433-6050
✔ PECOS✔ Accepts MedicareSame address
Victor Compres Matos, M.D.
Endocrinology
NPI 1164872990
704 S WEBSTER AVE STE 300
Green Bay, WI 54301
(920) 433-6050
✔ PECOS✔ Accepts MedicareSame address
Louis Dainty, MD
Gynecological Oncology
NPI 1649250655
704 S WEBSTER AVE STE 300
Green Bay, WI 54301
(920) 338-6868
✔ PECOS✔ Accepts MedicareSame address
Lori Hartz, MS, RD
Registered Dietitian or Nutrition Professional
NPI 1114068095
704 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3456
✔ Accepts MedicareSame address
Gail Miller, M.D.
Obstetrics/Gynecology
NPI 1710958558
704 S WEBSTER AVE
Green Bay, WI 54301
(920) 338-6868
✔ PECOSSame address
Michelle Minikel, MD
Family Practice
NPI 1093913113
704 S WEBSTER AVE SUITE 200
Green Bay, WI 54301
(920) 433-3456
✔ PECOS✔ Accepts MedicareSame address
David Tearse, MD
Orthopedic Surgery
NPI 1184621468
704 S WEBSTER AVE
Green Bay, WI 54301
(920) 430-4888
✔ PECOS✔ Accepts MedicareSame address
Steven Gerndt, MD
Thoracic Surgery
NPI 1487667549
720 S WEBSTER AVE SUITE 303
Green Bay, WI 54301
(920) 433-9621
✔ PECOS✔ Accepts MedicareSame address
Christen Hunsberger, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134678659
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3605
✔ PECOS✔ Accepts MedicareSame address
Nathanial Kieler, M.D.
Pathology
NPI 1144282773
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3653
✔ PECOS✔ Accepts MedicareSame address
Manar Al Shahrouri, MD
Pulmonary Disease
NPI 1093731382
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3706
✔ PECOS✔ Accepts MedicareSame address
Lukasz Babiarz, M.D., M.B.A.
Diagnostic Radiology
NPI 1346476066
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Chandler Barnes, SLP
Qualified Speech Language Pathologist
NPI 1306489752
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-7822
Same address
Sarah Beilfuss, OT
Occupational Therapist in Private Practice
NPI 1841215811
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-7822
Same address
Donnevan Blake, M.D.
Cardiovascular Disease (Cardiology)
NPI 1801854898
744 S WEBSTER AVE FL 2
Green Bay, WI 54301
(920) 433-3640
✔ PECOS✔ Accepts MedicareSame address
Daniel Brannen, DO
Sports Medicine
NPI 1922687409
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 430-4888
✔ PECOS✔ Accepts MedicareSame address
Ashley Diedrich, AA
Anesthesiology Assistant
NPI 1386748911
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3605
✔ Accepts MedicareSame address
See all 873 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0913169

Bellin Memorial Hospital · Green Bay, WI
Active · expires Sep 1, 2027
CLIA Number52D0913169
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorMs. Laura Hieb
Laboratory Phone(920) 433-7436
Laboratory LocationBellin Memorial Hospital744 S Webster Ave, Green Bay, WI 54301
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 52D0662050

Bellin Memorial Hospital · Green Bay, WI
Active · expires Feb 27, 2027
CLIA Number52D0662050
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Nathanial I. Kieler
Laboratory Phone(920) 433-3653
Laboratory LocationBellin Memorial Hospital744 S Webster Ave, Green Bay, WI 54301
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1073063681. It was assigned to this organization in the NPPES registry on October 6, 2016. The provider is doing business as Bellin Health Infectious Disease Clinic.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 704 S Webster Ave Suite 501, Green Bay, WI 54301. The listed phone number is (920) 445-7226.

What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Bellin Memorial Hospital Inc enrolled in Medicare?

Yes. Bellin Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bellin Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 873 clinicians in 50 Medicare specialties reassign their Medicare billing to Bellin Memorial Hospital Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (224), Physical Therapist in Private Practice (118) and Family Practice (57). Of these, 141 practice at this address and 549 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bellin Memorial Hospital Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bellin Memorial Hospital Inc accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Bellin Memorial Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bellin Memorial Hospital Inc was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.