ERIK BOSTROM (M.D.) – Family Medicine Physician, NPI 1003250655

ERIK BOSTROM (M.D.) is a healthcare provider. based in Aitkin, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 59333 (MN). The NPI Number for ERIK BOSTROM (M.D.) is 1003250655

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ERIK BOSTROM (M.D.)
NPI
1003250655
Phone
(218) 927-2157
Address
200 BUNKER HILL DR
Enumeration Date
25 April 2013
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2189272157
Graduation Year
2013 (13 years ago)
PAC ID
8527366434
Group Practice PAC ID
4981514692
Professional Enrollment ID
I20160820000171
Address ID
MN564311865AI200XXDRXX400

Contacts

Secure Messaging
ebostrom123274@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

3,075 FAMILY PRACTICE in MN

Provider Addresses for ERIK BOSTROM (M.D.)

  • 200 BUNKER HILL DR

    AITKIN, MN 564311865

    Phone: (218) 927-2157

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160820000171IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 56431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981514692View full group profile
NameSpecialtyState
Internal Medicine, HospitalistMN
Physician AssistantMN
Diagnostic Radiology, Interventional RadiologyMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMN
Internal MedicineMN
-MN
Interventional RadiologyMN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Is there an official ID for ERIK BOSTROM (M.D.) in U.S. healthcare records?
The official identifier for ERIK BOSTROM (M.D.) is NPI 1003250655.
Is there an active status for ERIK BOSTROM (M.D.)?
For scheduling context, ERIK BOSTROM (M.D.) is shown as active in the registry.
What kind of doctor is ERIK BOSTROM (M.D.)?
ERIK BOSTROM (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is ERIK BOSTROM (M.D.) registered?
Use Aitkin, Minnesota as the headline location for ERIK BOSTROM (M.D.) here.
When was this NPI issued?
Enumeration for ERIK BOSTROM (M.D.) is noted as April 25, 2013 where the registry provides it.

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