DR. MICHAEL H BAMBENEK (M.D.) – Emergency Medicine Physician, NPI 1215323787

DR. MICHAEL H BAMBENEK (M.D.) is a healthcare provider. based in Maplewood, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 63714 (MN). The NPI Number for DR. MICHAEL H BAMBENEK (M.D.) is 1215323787

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL H BAMBENEK (M.D.)
NPI
1215323787
Phone
(651) 232-7348
Address
1575 BEAM AVE
Enumeration Date
12 April 2015
Last Update Date
28 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6512323000
Graduation Year
2015 (11 years ago)
PAC ID
1759683832
Group Practice PAC ID
5496640161
Professional Enrollment ID
I20180613003478
Address ID
MN551021062SA45XXXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,171 EMERGENCY MEDICINE in MN

Provider Addresses for DR. MICHAEL H BAMBENEK (M.D.)

  • 1575 BEAM AVE

    MAPLEWOOD, MN 551091126

    Phone: (651) 232-7348

    Fax: (612) 439-1860

    Type: Location

  • 2829 UNIVERSITY AVE SE STE 730

    MINNEAPOLIS, MN 554143279

    Phone: (612) 439-1868

    Fax: (612) 439-1860

    Type: Mailing

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: 2018-06-13

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
I20180613003478IEmergency MedicineMNTBD

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
99285Emergency department visit with high level of medical decision making111111$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7271$0
99284Emergency department visit with moderate level of medical decision making4242$0
99291Critical care, first 30-74 minutes4141$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 55109)

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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: 5496640161View full group profile
NameSpecialtyState
Emergency MedicineMN
Physician AssistantMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineIL
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL H BAMBENEK (M.D.)?
For DR. MICHAEL H BAMBENEK (M.D.), use NPI 1215323787 as the unique 10-digit identifier.
Is there an active status for DR. MICHAEL H BAMBENEK (M.D.)?
For scheduling context, DR. MICHAEL H BAMBENEK (M.D.) is shown as active in the registry.
What area of care is associated with DR. MICHAEL H BAMBENEK (M.D.)?
DR. MICHAEL H BAMBENEK (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL H BAMBENEK (M.D.) associated with Maplewood?
Public fields place DR. MICHAEL H BAMBENEK (M.D.) around Maplewood, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. MICHAEL H BAMBENEK (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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