NPIMap

Individual provider Active NPI

Sida Bai, PA

  • Physician Assistant
  • Edina, MN
National Provider Identifier
1093283608
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14780 Issued in MN
Practice address
7500 France Ave S
Edina, MN 55435-3400
Phone
(952) 927-6501
Fax
(833) 905-0988
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14780 MN Primary

Addresses

Primary practice location

7500 France Ave S
Edina, MN 55435-3400

Mailing address

3001 Metro Dr Ste 460
Bloomington, MN 55425-1548
Phone (651) 999-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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
I20201016001081 MI Practitioner - Physician Assistant 8123459161 Reassigns benefits to 1 organization
I20240731001364 MN Practitioner - Physician Assistant 8123459161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

1185 Town Centre Dr
Eagan, MN 55123-1189
Phone (651) 999-6800

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (651) 635-9173

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

6025 Lake Rd
Suite 200
Woodbury, MN 55125-1710
Phone (651) 999-6800

7500 France Ave S
Edina, MN 55435-3400
Phone (952) 927-6501

800 E 28TH St
Minneapolis, MN 55407-3723

PO Box
Minneapolis, MN 55440-0043

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14780MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Aug 30, 2024 Accepting new patients
Allina Health System CurrentSince Aug 30, 2024 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Nov 16, 2020 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Nov 16, 2020 Accepting new patients
Metropolitan Urologic Specialists PA PastSince Sep 23, 2024 Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

509 Osborn Blvd
Ste 320
Sault Sainte Marie, MI 49783
Phone (906) 322-2210

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

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

7500 France Ave S
Minneapolis, MN 55435
Phone (952) 835-1311

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

360 Sherman St
Ste 450
Saint Paul, MN 55102
Phone (651) 641-7100

1515 Saint Francis Ave
Ste 250
Shakopee, MN 55379
Phone (651) 312-1700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sida.bai.1@20581.direct.athenahealth.com

Organizations & group practices 8

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1093283608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 METRO DR STE 460",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251548",
            "telephone_number": "651-999-7022",
            "fax_number": "651-999-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353400",
            "telephone_number": "952-927-6501",
            "fax_number": "833-905-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "SIDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.