Individual provider Active NPI

Ositadinma C. Anene, M.D.

  • Family Medicine Physician
  • Woodbury, MN
National Provider Identifier
1194925313
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52641 Issued in MN
Practice address
1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone
(651) 232-6700
Fax
(651) 232-6711
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52641 MN Primary

Addresses

Primary practice location

1875 Woodwinds Dr
Woodbury, MN 55125-2298

Mailing address

1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100923001343 MN Practitioner - Family Practice 9739217795 Reassigns benefits to 4 organizations
I20221117000371 WI Practitioner - Family Practice 9739217795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700

405 Stageline Rd
Hudson, WI 54016-7848
Phone (651) 265-1999

411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700

744 E Louisiana St
Saint Croix Falls, WI 54024-9501
Phone (866) 544-6741

Hospital & facility affiliations

  • Hudson Hospital Hospital, Hudson, WI, CCN 521335
  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jul 26, 2010 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Oct 28, 2019 Accepting new patients
Group Health, Inc. Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Oct 28, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Group Health, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jul 26, 2010 Accepting new patients
Fairview Clinics CurrentSince Oct 28, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Group Health, Inc. Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Oct 28, 2019 Accepting new patients
Group Health, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

1215 Town Centre Dr
Eagan, MN 55123
Phone (651) 326-1515

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

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

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

5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800

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

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1690 University Ave W
Ste 370
Saint Paul, MN 55104
Phone (651) 232-5321

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

980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020

2315 Como Ave
Saint Paul, MN 55108
Phone (651) 646-2549

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

403 Stageline Rd
Hudson, WI 54016
Phone (715) 386-8880

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

Interoperability endpoints

  • Direct secure messaging: oanene169342@direct.healthpartners.com

Organizations & group practices 19

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 19

Hospital & facility affiliations 3

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1194925313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-232-6700",
            "fax_number": "651-232-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252298",
            "telephone_number": "651-232-6700",
            "fax_number": "651-232-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANENE",
        "first_name": "OSITADINMA",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.