Rafael Ernesto Ledesma Bilbao Jr., MD
Hospitalist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164565974
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1164565974
- Entity type
- Individual (NPI-1)
- Name
- Rafael Ernesto Ledesma Bilbao Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2007
- Certification date
- Apr 26, 2022
- Last updated
- Apr 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 4301082270 | MI | Yes |
| 207R00000X | Internal Medicine | 4301082270 | MI |
Practice location
200 Jefferson Ave Se Ste 626Grand Rapids, MI 49503-4502
Phone 616-685-5576 · Fax 616-685-8910
Mailing address
200 Jefferson Ave SeGrand Rapids, MI 49503-4502
Phone 616-685-5576 · Fax 616-685-8910
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