Active NPI
David Pontius, PA-C
- Physician Assistant
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15081
- Practice address
- 217 Radio Dr
Woodbury, MN 55125-5805 - Phone
- (651) 702-0750
- Fax
- (651) 645-6166
- NPI assigned
- Mar 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15081 | MN | Primary |
| Physician Assistant | 363A00000X | 8134-23 | WI |
Addresses
Primary practice location
217 Radio Dr
Woodbury, MN 55125-5805
Mailing address
215 Radio Dr Ste 202
Woodbury, MN 55125-5822
Phone (651) 702-0750
Other practice location 1
3590 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 702-0750
Other practice location 2
3460 Promenade Ave
Eagan, MN 55123-4404
Phone (651) 702-0750
Other practice location 3
11020 161st Street West
Lakeville, MN 55044
Phone (651) 702-0750
Other practice location 4
2651 Hillcrest Dr Ste 302
Hudson, WI 54016-9919
Phone (651) 702-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11020 161St St W
Lakeville, MN 55044-6507
Phone (651) 702-0750
215 Radio Dr
Suite 202
Woodbury, MN 55125-5805
217 Radio Dr
Woodbury, MN 55125-5805
Phone (651) 702-0750
2651 Hillcrest Dr
Suite 302
Hudson, WI 54016-9919
Phone (651) 702-0750
3590 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 702-0750
Hospital & facility affiliations
- Allina United Hospital
- M Health Fairview University of MN Medical Center
- M Health Fairview Woodwinds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15081 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology & Head & Neck Surgery, P.a. | Current | Accepting new patients |
Locations
3460 Promenade Ave
Eagan, MN 55123
11020 161st St W
Lakeville, MN 55044
3590 Arcade St
Vadnais Heights, MN 55127
217 Radio Dr
Woodbury, MN 55125
215 Radio Dr
Ste 202
Woodbury, MN 55125
Phone (651) 867-9007
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
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 and National Provider Directory roles.
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1194426254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 RADIO DR STE 202",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255822",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255805",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166"
}
],
"practiceLocations": [
{
"address_1": "3590 Arcade St",
"address_purpose": "LOCATION",
"city": "Vadnais Heights",
"state": "MN",
"postal_code": "551277135",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3460 Promenade Ave",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551234404",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11020 161st Street West",
"address_purpose": "LOCATION",
"city": "Lakeville",
"state": "MN",
"postal_code": "55044",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2651 Hillcrest Dr Ste 302",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540169919",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PONTIUS",
"first_name": "DAVID",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-15",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "15081",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "8134-23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.