Individual provider Active NPI

Ikran B Idd, CNP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1184074031
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9841 Issued in MN
Practice address
2711 E Franklin Ave
Minneapolis, MN 55406-1105
Phone
(612) 339-3300
Fax
(612) 339-3303
NPI assigned
Jun 21, 2016
Last updated
Jan 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9841 MN Primary

Addresses

Primary practice location

2711 E Franklin Ave
Minneapolis, MN 55406-1105

Mailing address

2711 E Franklin Ave
Minneapolis, MN 55406-1105
Phone (612) 339-3300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307002417 MN Practitioner - Nurse Practitioner 0840663118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gargar Urgent Care and ClinicGroup PAC ID 4082887575, 4 clinicians

Practice addresses (Care Compare)

2711 E Franklin Ave
Minneapolis, MN 55406-1105
Phone (612) 339-3302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gargar Urgent Care and Clinic CurrentSince Feb 9, 2023 Accepting new patients

Locations

2711 E Franklin Ave
Minneapolis, MN 55406
Phone (612) 339-3300

Interoperability endpoints

  • Direct secure messaging: ikran.idd.1@28492.direct.athenahealth.com

Organizations & group practices 1

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1184074031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061105",
            "telephone_number": "612-339-3300",
            "fax_number": "612-339-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061105",
            "telephone_number": "612-339-3300",
            "fax_number": "612-339-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDD",
        "first_name": "IKRAN",
        "middle_name": "B",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.