Active NPI
Admatha Muthyala Winfred, MD
- Geriatric Medicine (Internal Medicine) Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 64898
- Practice address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Phone
- (612) 672-6000
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036143638 | IL | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 64898 | MN | Primary |
Addresses
Primary practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
251 E Huron St
Chicago, IL 60611-2908
Other practice location 1
Ku Medical Center 3901 Rainbow Blvd
6040 Delp, MS 1020
Kansas City, KS 66160-0001
Phone (913) 588-6005
Other practice location 2
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 326-7200
Other practice location 3
251 E Huron St
Chicago, IL 60611-2908
Phone (913) 596-0349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170725003455 | SD | Practitioner - Internal Medicine | 8325358575 | Reassigns benefits to 1 organization |
| I20190325000142 | MN | Practitioner - Hospitalist | 8325358575 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healtheast Medical Research Institute
Practice addresses (Care Compare)
1700 University Ave W
6TH Floor W
Saint Paul, MN 55104-3727
Phone (651) 232-2273
Hospital & facility affiliations
- M Health Fairview Bethesda Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036143638 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc | Multi-Specialty | Current | Accepting new patients |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Multi-Specialty | Current | Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Fairview Express Care | Multi-Specialty | Current | Accepting new patients |
| Fairview Clinics | Multi-Specialty | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Multi-Specialty | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Multi-Specialty | Current | Accepting new patients |
| Healtheast Medical Research Institute | Multi-Specialty | Current | Accepting new patients |
| Healtheast Medical Research Institute | Multi-Specialty | Current | Accepting new patients |
| Fairview Health Services | Multi-Specialty | Current | Accepting new patients |
| Fairview Bethesda Hospital | Multi-Specialty | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Interoperability endpoints
- awinfred713945@fairview.direct-ci.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
MN, Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
MN, Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
Multi-Specialty, SD
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Multi-Specialty
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1679754998
-
- Cardiovascular Disease Physician
- Burnsville, MN
- NPI 1891930442
Multi-Specialty
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Saint Paul, MN
- NPI 1194787465
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1003105552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-672-6000"
}
],
"practiceLocations": [
{
"address_1": "Ku Medical Center 3901 Rainbow Blvd",
"address_2": "6040 Delp, MS 1020",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661600001",
"country_code": "US",
"telephone_number": "913-588-6005",
"fax_number": "913-588-5243",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 Beam Ave",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551091126",
"country_code": "US",
"telephone_number": "651-326-7200",
"fax_number": "651-326-7240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 E Huron St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112908",
"country_code": "US",
"telephone_number": "913-596-0349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINFRED",
"first_name": "ADMATHA",
"middle_name": "MUTHYALA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "IL",
"license": "036143638",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MN",
"license": "64898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.