NPIMap

Individual provider Active NPI

Milan Ristic, DO

  • Physical Medicine & Rehabilitation Physician
  • Edina, MN
National Provider Identifier
1023505849
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
75201 Issued in MN
Practice address
8100 W 78TH St Ste 100
Edina, MN 55439-2529
Phone
(952) 914-8100
Fax
(952) 914-8101
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101027032 MI
Physical Medicine & Rehabilitation Physician 208100000X 75201 MN Primary

Addresses

Primary practice location

8100 W 78TH St Ste 100
Edina, MN 55439-2529

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mristic638613@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002478 MN Practitioner - Physical Medicine and Rehabilitation 5092060749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Marian University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1601 Saint Francis Ave
Suite 100
Shakopee, MN 55379-3384
Phone (952) 428-3535

8100 W 78TH St
Suite 100
Edina, MN 55439-2529
Phone (952) 914-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101027032MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Sep 18, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Sep 18, 2023 Accepting new patients
Regents of the University of Michigan Physical Medicine & Rehabilitation CurrentSince Oct 22, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Regents of the University of Michigan CurrentSince Oct 22, 2022 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Allina Health System CurrentSince Sep 18, 2023 Accepting new patients
Allina Health System Past Accepting new patients

Locations

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

39901 Traditions Dr
Northville, MI 48168
Phone (248) 305-4400

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

800 E 28th St
Ste 1750
Minneapolis, MN 55407
Phone (612) 863-4495

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

8100 W 78th St
Ste 100
Minneapolis, MN 55439
Phone (952) 914-8100

8100 W 78th St
Ste 230
Minneapolis, MN 55439
Phone (888) 892-7575

280 Smith Ave N
Ste 220
Saint Paul, MN 55102
Phone (651) 241-8295

1601 Saint Francis Ave
Ste 100
Shakopee, MN 55379
Phone (952) 403-3535

Interoperability endpoints

  • Direct secure messaging: mristic638613@excellian.direct.allina.com

Organizations & group practices 9

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.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1023505849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392529",
            "telephone_number": "952-914-8100",
            "fax_number": "952-914-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTIC",
        "first_name": "MILAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101027032",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "75201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mristic638613@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "8100 W 78th St Ste 100",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554392529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.