Individual provider Active NPI

Andrew Allen Thoreson, MD

  • Vascular & Interventional Radiology Physician
  • Plymouth, MN
National Provider Identifier
1144495722
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
48778 Issued in MN
Practice address
2800 Campus Dr Ste 20
Plymouth, MN 55441-2669
Phone
(763) 559-2171
NPI assigned
Apr 24, 2008
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 48778 MN
Vascular & Interventional Radiology Physician 2085R0204X A115917 CA
Vascular & Interventional Radiology Physician 2085R0204X 48778 MN Primary

Addresses

Primary practice location

2800 Campus Dr Ste 20
Plymouth, MN 55441-2669

Mailing address

2955 Xenium Lane N
Suite 40
Plymouth, MN 55441-2668
Phone (763) 398-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170515000766 MN Practitioner - Interventional Radiology 6002988524 Reassigns benefits to 4 organizations
I20230328000215 WI Practitioner - Interventional Radiology 6002988524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians
West Imaging LLCGroup PAC ID 7315833720, 29 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Minnesota Diagnostic Imaging Partners LLCGroup PAC ID 5890681209, 32 clinicians

Practice addresses (Care Compare)

2800 Campus Dr
Suite 20
Plymouth, MN 55441-2669
Phone (763) 398-6363

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

9855 Hospital Dr
Suite 150
Maple Grove, MN 55369-4776
Phone (763) 398-6341

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115917CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Imaging, LLC Diagnostic Radiology CurrentSince Jun 10, 2017 Accepting new patients
Hudson Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients
North Memorial Health Care CurrentSince Jul 3, 2017 Accepting new patients
North Memorial Health Care CurrentSince Jul 3, 2017 Accepting new patients
Minneapolis Radiology Associates, LTD. Diagnostic Radiology CurrentSince Jun 10, 2017 Accepting new patients
Minnesota Diagnostic Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2017 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients

Locations

9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700

2800 Campus Dr
Ste 30
Plymouth, MN 55441
Phone (763) 398-4000

2955 Xenium Ln N
Ste 40
Plymouth, MN 55441
Phone (763) 398-2203

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

2651 Hillcrest Dr
Ste 103
Hudson, WI 54016
Phone (763) 559-2171

Interoperability endpoints

  • Direct secure messaging: athoreson361319@direct.centracare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1144495722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 XENIUM LANE N",
            "address_2": "SUITE 40",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412668",
            "telephone_number": "763-398-2203",
            "fax_number": "763-398-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR STE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412669",
            "telephone_number": "763-559-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORESON",
        "first_name": "ANDREW",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "48778",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A115917",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "48778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.