Stephanie Aldrin, MD
Individual provider Active NPI Family Medicine Physician · St Louis Park, MN
NPI 1144718917 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1144718917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 66128 (MN)
- Practice address
- 1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476 - Phone
- (952) 541-2500
- Fax
- (952) 541-2539
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-0020
4730 Chicago Ave S
Minneapolis, MN 55407-3570
Phone (952) 967-7485
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
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 |
|---|---|---|---|---|
| I20190815000038 | MN | Practitioner - Family Practice | 1951654987 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66128 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Family Medicine | Current |
Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000
580 Rice St
Saint Paul, MN 55103
Phone (651) 227-6551
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1665 Utica Ave S
Ste 100
St Louis Park, MN 55416
Phone (952) 541-2500
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 66128 | MN | Yes |
Addresses
Primary practice location
1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476
Mailing address
8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516
Other providers in St Louis Park, MN
- Jacob Ari Carter Albersheim
- Aubrianna Alberts
- Chloe Erin Alberts
- Melissa Albrecht
- Patti W Albright
- Alaa Ali
- Hiba Ali
- Mariam Ali
- Sahra Ali
- Salma Daud Ali
All providers in St Louis Park, MN · 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 16, 2021. 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.