Active NPI
William Keith Engel, MD
- Ophthalmology Physician
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35028
- Practice address
- 6060 Clearwater Dr Ste 150
Minnetonka, MN 55343 - Phone
- (763) 416-7600
- Fax
- (763) 416-7634
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35028 | MN | Primary |
Addresses
Primary practice location
6060 Clearwater Dr Ste 150
Minnetonka, MN 55343
Mailing address
8401 Golden Valley Rd Ste 330
Golden Valley, MN 55427-4488
Phone (763) 416-7629
Other practice location 1
12000 Elm Creek Blvd N Ste 100
Maple Grove, MN 55369-7074
Phone (763) 416-7600
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.82 of 100
- Quality
- 80.89
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 70.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35028 | MN | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
701 25th Ave S
Ste 300
Minneapolis, MN 55454
Phone (612) 365-8350
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Specialist
- Saint Paul, MN
- NPI 1679048763
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1023093390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 GOLDEN VALLEY RD STE 330",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274488",
"telephone_number": "763-416-7629",
"fax_number": "763-383-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 CLEARWATER DR STE 150",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55343",
"telephone_number": "763-416-7600",
"fax_number": "763-416-7634"
}
],
"practiceLocations": [
{
"address_1": "12000 Elm Creek Blvd N Ste 100",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553697074",
"country_code": "US",
"telephone_number": "763-416-7600",
"fax_number": "763-416-7634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGEL",
"first_name": "WILLIAM",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "35028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.