Individual provider Active NPI

Janice M Sinclair, MD

  • Ophthalmology Physician
  • Maple Grove, MN
National Provider Identifier
1104804962
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40348 Issued in MN
Practice address
12000 Elm Creek Blvd N Ste 100
Maple Grove, MN 55369-7074
Phone
(763) 416-7600
Fax
(763) 416-7634
NPI assigned
Jan 3, 2006
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 40348 MN Primary

Addresses

Primary practice location

12000 Elm Creek Blvd N Ste 100
Maple Grove, MN 55369-7074

Mailing address

8401 Golden Valley Rd Ste 330
Golden Valley, MN 55427-4488
Phone (763) 416-7629

Other practice location 1

250 Central Ave N Ste 107
Wayzata, MN 55391-1207
Phone (763) 416-7600

Other practice location 2

8501 Golden Valley Rd Ste 100
Golden Valley, MN 55427-4472
Phone (763) 416-7600

Other identifiers 1

IdentifierTypeStateIssuer
245640100MedicaidMN

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
I20100803001311 MN Practitioner - Ophthalmology 0749173649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8401 Golden Valley Rd
Suite 330
Golden Valley, MN 55427-4686

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
80.89
Promoting interoperability
94
Improvement activities
40
Cost
70.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40348MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Clinic, LLC Ophthalmology CurrentSince Sep 5, 2000 Accepting new patients
Northwest Eye Clinic, LLC Ophthalmology Past Accepting new patients

Locations

8501 Golden Valley Rd
Ste 100
Golden Valley, MN 55427
Phone (763) 416-7655

12000 Elm Creek Blvd N
Ste 100
Maple Grove, MN 55369
Phone (763) 416-7653

8401 Golden Valley Rd
Ste 330
Minneapolis, MN 55427

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

250 Central Ave N
Ste 105
Wayzata, MN 55391

250 Central Ave N
Ste 107
Wayzata, MN 55391

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1104804962",
    "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": "12000 ELM CREEK BLVD N STE 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697074",
            "telephone_number": "763-416-7600",
            "fax_number": "763-416-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Central Ave N Ste 107",
            "address_purpose": "LOCATION",
            "city": "Wayzata",
            "state": "MN",
            "postal_code": "553911207",
            "country_code": "US",
            "telephone_number": "763-416-7600",
            "fax_number": "763-416-7634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Golden Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274472",
            "country_code": "US",
            "telephone_number": "763-416-7600",
            "fax_number": "763-416-7634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "JANICE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "40348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245640100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.