Justin Thomas Eglseder, MD
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Brooklyn Park, MN
NPI 1124525779 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1124525779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 72195 (MN)
- Practice address
- 5601 96TH Ave N Ste 200
Brooklyn Park, MN 55443-4505 - Phone
- (763) 786-9543
- Fax
- (763) 786-3320
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Infinite Health Collaborative, PA
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
5601 96TH Ave N
Suite 200
Brooklyn Park, MN 55443-4505
Phone (763) 786-9543
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220909001888 | MN | Practitioner - Sports Medicine |
5294110318 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current |
Accepting new patients | |
| Infinite Health Collaborative, PA | Current |
Accepting new patients | |
| St. Croix Orthopaedics, PA | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
11225 Ulysses St NE
Blaine, MN 55434
Phone (763) 302-2600
5601 96th Ave N
Ste 200
Brooklyn Park, MN 55443
Phone (763) 786-9543
3111 124th Ave NW
Ste 200
Coon Rapids, MN 55433
Phone (763) 427-7300
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 72195 | MN | Yes |
Addresses
Primary practice location
5601 96TH Ave N Ste 200
Brooklyn Park, MN 55443-4505
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600
Other providers in Brooklyn Park, MN
- Cassandra Christine Eckart
- Eco Green Corporation
- Camille Edosa - Amundson
- Edp of Minnesota PC
- Lillian Egan
- Eirapoint LLC
- Megan Eiselt
- El-Lyon LLC
- Elena'S Care, Inc.
- Elias Heath Care LLC
All providers in Brooklyn Park, MN · Sports Medicine (Family Medicine) Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.