NPIMap

Individual provider Active NPI

Daniel P Mundt

  • Hematology & Oncology Physician
  • Maple Grove, MN
National Provider Identifier
1053870147
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
78532 Issued in MN
Practice address
10150 Niagara LN N Ste 100
Maple Grove, MN 55369-7588
Phone
(763) 297-9700
Fax
(651) 414-3101
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X 78532 MN Primary

Addresses

Primary practice location

10150 Niagara LN N Ste 100
Maple Grove, MN 55369-7588

Mailing address

2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (763) 297-9700

Other practice location 1

5900 S Lake Dr
Cudahy, WI 53110-3171
Phone (414) 489-9000

Other practice location 2

1218 W Kilbourn Ave Ste 200
Milwaukee, WI 53233-1325
Phone (414) 219-7370

Other identifiers 1

IdentifierTypeStateIssuer
100227564MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address dmundt228057@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230316001470 WI Practitioner - HospitalistPractitioner - Internal Medicine 7416321369
I20250722002437 MN Practitioner - Hematology/Oncology 7416321369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians

Practice addresses (Care Compare)

10150 Niagara LN N
Suite 100
Maple Grove, MN 55369-7588
Phone (844) 317-4673

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78532MNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology PA CurrentSince Aug 31, 2025 Accepting new patients
Minnesota Oncology Hematology PA Hematology & Oncology CurrentSince Aug 31, 2025 Accepting new patients
Minnesota Oncology Hematology, PA Hematology & Oncology Current Accepting new patients
Minnesota Oncology Hematology, PA Hematology & Oncology Past Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

Organizations & group practices 5

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 10

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1053870147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142001",
            "telephone_number": "763-297-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 NIAGARA LN N STE 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697588",
            "telephone_number": "763-297-9700",
            "fax_number": "651-414-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Cudahy",
            "state": "WI",
            "postal_code": "531103171",
            "country_code": "US",
            "telephone_number": "414-489-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 W Kilbourn Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532331325",
            "country_code": "US",
            "telephone_number": "414-219-7370",
            "fax_number": "414-219-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDT",
        "first_name": "DANIEL",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "78532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100227564",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5900 S Lake Dr",
            "city": "Cudahy",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531103171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmundt228057@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5900 S Lake Dr",
            "city": "Cudahy",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531103171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.