Individual provider Active NPI

Sara J Shumway, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Minneapolis, MN
National Provider Identifier
1164527503
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
32237 Issued in MN
Practice address
PWB Third Floor, Clinic 3B
516 Delaware Street SE
Minneapolis, MN 55455
Phone
(612) 625-3600
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 32237 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 32237 MN Primary

Addresses

Primary practice location

PWB Third Floor, Clinic 3B
516 Delaware Street SE
Minneapolis, MN 55455

Mailing address

University of Minnesota Physicians
420 Delaware Street SE, MMC 292
Minneapolis, MN 55455
Phone (612) 625-3600

Other identifiers 10

IdentifierTypeStateIssuer
576390800MedicaidMN
18-22559OtherMNMEDICA CHOICE
HP22205OtherMNHEALTH PARTNERS
1009309OtherMNPREFERRED ONE
18-70034OtherMNMEDICA PRIMARY
2T105SHOtherMNBLUE CROSS BLUE SHIELD
0972356MedicaidIA
101586OtherMNUCARE
033969OtherMNFAIRVIEW
768349OtherMNARAZ

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
I20100910000850 MN Practitioner - Thoracic SurgeryPractitioner - General Surgery 5193840379 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Vanderbilt University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (763) 525-1746

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000

6405 France Ave S
Suite W200
Edina, MN 55435-2163
Phone (952) 848-5600

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213
  • Fairview Lakes Health Services Hospital, Wyoming, MN, CCN 240050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32237MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jul 15, 2011 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
University of Minnesota Physicians CurrentSince Jan 1, 1998 Accepting new patients
Fairview Clinics CurrentSince Apr 13, 2020 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jan 1, 2019 Accepting new patients
St. Mary'S Medical Center CurrentSince Oct 1, 2024 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Fairview Express Care CurrentSince Apr 13, 2020 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Mar 11, 2024 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Nov 1, 2015 Accepting new patients
Fairview Health Services CurrentSince Apr 13, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Group Health, Inc. Current Accepting new patients
St Marys Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Healtheast Care System CurrentSince Nov 1, 2015 Accepting new patients
Fairview Express Care Current Accepting new patients
The Duluth Clinic LTD CurrentSince Mar 11, 2024 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 1, 2019 Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Jan 23, 2017 Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Jan 23, 2017 Accepting new patients
Healtheast St. John'S Hospital CurrentSince Nov 1, 2015 Accepting new patients
Fairview Bethesda Hospital CurrentSince Nov 1, 2015 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 1, 2019 Accepting new patients
Group Health, Inc. CurrentSince Jul 15, 2011 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Fairview Health Services Current Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6405 France Ave S
Ste W200
Minneapolis, MN 55435
Phone (952) 836-3700

516 Delaware St SE
Fl Third
Minneapolis, MN 55455
Phone (612) 625-3600

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

420 Delaware St SE
#292
Minneapolis, MN 55455
Phone (612) 626-3345

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Organizations & group practices 31

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.

View all 31

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1164527503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MINNESOTA PHYSICIANS",
            "address_2": "420 DELAWARE STREET SE, MMC 292",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-625-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PWB THIRD FLOOR, CLINIC 3B",
            "address_2": "516 DELAWARE STREET SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-625-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "32237",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "32237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576390800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "18-22559",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP22205",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1009309",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "18-70034",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2T105SH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972356",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "101586",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAIRVIEW",
            "identifier": "033969",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "768349",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.