Individual provider Active NPI

Ann C Lowry, MD

  • Colon & Rectal Surgery Physician
  • Edina, MN
National Provider Identifier
1174532881
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
30280 Issued in MN
Practice address
6565 France Ave S
Suite 375
Edina, MN 55435-2137
Phone
(651) 312-1700
Fax
(651) 312-1570
NPI assigned
Aug 5, 2006
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 30280 MN Primary

Addresses

Primary practice location

6565 France Ave S
Suite 375
Edina, MN 55435-2137

Mailing address

3433 Broadway St NE Ste 115
Minneapolis, MN 55413-1759
Phone (651) 312-1500

Other identifiers 1

IdentifierTypeStateIssuer
178285100MedicaidMN

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
I20080131000515 MN Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7214825777 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30280MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA Family Medicine CurrentSince May 1, 2020 Accepting new patients
Infinite Health Collaborative, PA CurrentSince May 1, 2020 Accepting new patients
Fairview Health Services PastSince Jan 1, 2012 Accepting new patients

Locations

2800 Chicago Ave
Ste 300
Minneapolis, MN 55407
Phone (651) 225-7800

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairview Northland Regional HospitalPrinceton, MN, CCN 240141 Hospital Corporate Director Jan 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1174532881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE STE 115",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131759",
            "telephone_number": "651-312-1500",
            "fax_number": "651-312-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S",
            "address_2": "SUITE 375",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "651-312-1700",
            "fax_number": "651-312-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "ANN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MN",
            "license": "30280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178285100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.