NPIMap

Individual provider Active NPI

Alexandra Tsvilina, MD, PHD

  • Family Medicine Physician
  • Plymouth, MN
National Provider Identifier
1164801536
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62797 Issued in MN
Practice address
15655 37TH Ave N Ste 100
Plymouth, MN 55446-4003
Phone
(763) 587-7900
Fax
(763) 587-7701
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 62797 MN
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 62797 MN Primary

Addresses

Primary practice location

15655 37TH Ave N Ste 100
Plymouth, MN 55446-4003

Mailing address

9201 W Broadway Ave Ste 601
Brooklyn Park, MN 55445-1924
Phone (763) 587-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandra.tsvilina@nor.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322000231 MN Practitioner - Family PracticePractitioner - General Practice 9032415518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Clinic PAGroup PAC ID 2769384205, 50 clinicians

Practice addresses (Care Compare)

15655 37TH N Ave
Suite 100
Plymouth, MN 55446-4003
Phone (763) 587-7900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Clinic, PA Family Medicine CurrentSince May 1, 2018 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Feb 17, 2020 Accepting new patients
North Clinic, PA Family Medicine CurrentSince May 1, 2018 Accepting new patients
Fairview Clinics CurrentSince Nov 21, 2020 Accepting new patients
Fairview Express Care General Practice CurrentSince Feb 17, 2020 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince Nov 21, 2020 Accepting new patients
West Imaging, LLC Past Accepting new patients

Locations

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

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

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

5109 36th Ave N
Minneapolis, MN 55422
Phone (630) 632-2648

2020 E 28th St
Minneapolis, MN 55407
Phone (612) 333-0770

9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933

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

50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625

15655 37th Ave N
Ste 100
Plymouth, MN 55446
Phone (612) 293-7822

15655 37th Ave N
Plymouth, MN 55446
Phone (763) 398-8710

Interoperability endpoints

  • Direct secure messaging: alexandra.tsvilina@nor.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1164801536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W BROADWAY AVE STE 601",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451924",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 37TH AVE N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464003",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSVILINA",
        "first_name": "ALEXANDRA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "62797",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "62797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.tsvilina@nor.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "15655 37th Ave N Ste 100",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554464003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.