Active NPI
Collin Markham Cousins, MD
- Emergency Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 73065
- Practice address
- 800 E 28TH St # Mr 11112
Minneapolis, MN 55407-3723 - Phone
- (612) 863-4233
- NPI assigned
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 165024 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 73065 | MN | Primary |
Addresses
Primary practice location
800 E 28TH St # Mr 11112
Minneapolis, MN 55407-3723
Mailing address
2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1669422788
Emergency Medicine, MN
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
Emergency Medicine, MN
-
- Medical Toxicology (Emergency Medicine) Physician
- Minneapolis, MN
- NPI 1629532429
-
- Community/Retail Pharmacy
- Ely, MN
- NPI 1972539658
-
- Clinic/Center
- Minneapolis, MN
- NPI 1023783198
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Health Services
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-7838
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.56
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230117000063 | MN | Practitioner - Emergency Medicine | 7911300926 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165024 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ely-Bloomenson Community Hospital | Current | Accepting new patients | |
| Fairview Health Services | Emergency Medicine | Current | Accepting new patients |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Pacifica Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Consultants, PA | Emergency Medicine | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Ecc Addiction & Toxicology Services LLC | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Ely-Bloomenson Community Hospital | Current | Accepting new patients |
Locations
16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000
29980 Network Pl
Chicago, IL 60673
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
328 W Conan St
Ely, MN 55731
Phone (218) 365-3271
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
800 E 28th St
#11112
Minneapolis, MN 55407
Phone (612) 863-4233
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2829 University Ave SE
Ste 730
Minneapolis, MN 55414
Phone (612) 439-1868
2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Interoperability endpoints
- ccousins324801@fairview.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1003310020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 UNIVERSITY AVE SE STE 730",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 28TH ST # MR 11112",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073723",
"telephone_number": "612-863-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINS",
"first_name": "COLLIN",
"middle_name": "MARKHAM",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-23",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "165024",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "73065",
"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 Jun 6, 2023; 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.