Individual provider Active NPI

Mark Houghland, MD

  • Cardiovascular Disease Physician
  • Plymouth, MN
National Provider Identifier
1104877059
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
37743 Issued in MN
Practice address
2805 Campus Dr
Suite 305
Plymouth, MN 55441-2676
Phone
(763) 577-7615
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 37743 MN Primary

Addresses

Primary practice location

2805 Campus Dr
Suite 305
Plymouth, MN 55441-2676

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhoughland93830@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: 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
I20040205001023 MN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779476502 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jul 1, 2009 Accepting new patients
Allina Health System CurrentSince Jan 6, 2023 Accepting new patients
Allina Health System CurrentSince Jul 1, 2009 Accepting new patients
Allina Health System Current Accepting new patients
Northfield Hospital CurrentSince Feb 4, 2024 Accepting new patients
Minneapolis Heart Institute at Ridgeview Heart Center, LLC Cardiovascular Disease CurrentSince Sep 15, 2023 Accepting new patients

Locations

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

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

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

1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313

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

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

920 E 28th St
Ste 300
Minneapolis, MN 55407
Phone (612) 863-3900

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

920 E 28th St
Ste 610
Minneapolis, MN 55407
Phone (612) 863-6900

920 E 28th St
Ste 560
Minneapolis, MN 55407
Phone (612) 863-3770

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

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

2805 Campus Dr
Ste 305
Plymouth, MN 55441
Phone (763) 577-7615

2805 Campus Dr
Ste 125
Plymouth, MN 55441
Phone (763) 553-1142

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

424 W State Highway 5
Waconia, MN 55387
Phone (952) 442-4461

Interoperability endpoints

  • Direct secure messaging: mhoughland93830@excellian.direct.allina.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1104877059",
    "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": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 305",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-577-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHLAND",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "37743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhoughland93830@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2805 Campus Dr",
            "address_2": "Suite 305",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554412676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.