Individual provider Active NPI

Hans Carl Bengtson, M.D.

  • Orthopaedic Surgery Physician
  • Faribault, MN
National Provider Identifier
1043499577
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
56806 Issued in MN
Practice address
1645 Lyndale Ave N Ste 103
Faribault, MN 55021-2935
Phone
(651) 968-5201
Fax
(651) 968-5904
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35.099051 OH
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 45459 KY
Orthopaedic Surgery Physician 207X00000X 56806 MN Primary

Addresses

Primary practice location

1645 Lyndale Ave N Ste 103
Faribault, MN 55021-2935

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5201

Other identifiers 11

IdentifierTypeStateIssuer
1043499577OtherMNMMSI
1043499577OtherMNHUMANA
1043499577OtherMNMEDICA/SELECT CARE
1043499577OtherMNBCBS OF MN
56806OtherMNMINNESOTA MEDICAL LICENSE
1043499577OtherMNUCARE
1043499577OtherMNAMERICA'S PPO
1043499577MedicaidMN
1043499577OtherMNHEALTHPARTNERS
1043499577OtherMNPRIMEWEST
1043499577OtherMNTRPN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131016000699 MN Practitioner - Orthopedic Surgery 4284881129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

1381 Jefferson Rd
Northfield, MN 55057-3080
Phone (507) 646-8900

Hospital & facility affiliations

  • Northfield Hospital Hospital, Northfield, MN, CCN 240014
  • Allina Health Faribault Medical Center Hospital, Faribault, MN, CCN 240071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45459KYMDSports Medicine (Orthopaedic Surgery) Physician
107057MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital CurrentSince Jan 29, 2024 Accepting new patients
Northfield Hospital Current Accepting new patients

Locations

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500

2014 Jefferson Rd
Ste Cd
Northfield, MN 55057
Phone (507) 646-6700

1381 Jefferson Rd
Northfield, MN 55057
Phone (507) 646-8800

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043499577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254925",
            "telephone_number": "651-968-5201",
            "fax_number": "651-968-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LYNDALE AVE N STE 103",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212935",
            "telephone_number": "651-968-5201",
            "fax_number": "651-968-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "HANS",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35.099051",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "45459",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "56806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSI",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/SELECT CARE",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA MEDICAL LICENSE",
            "identifier": "56806",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "1043499577",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRPN",
            "identifier": "1043499577",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.