Active NPI
Daniel Carlson, DO
- Hematology & Oncology Physician
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 73966
- Practice address
- 11850 Blackfoot St NW Ste 300
Coon Rapids, MN 55433-2772 - Phone
- (763) 236-0808
- Fax
- (763) 236-6065
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73966 | MN | |
| Hematology & Oncology Physician | 207RH0003X | 73966 | MN | Primary |
Addresses
Primary practice location
11850 Blackfoot St NW Ste 300
Coon Rapids, MN 55433-2772
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcarlson636266@excellian.direct.allina.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Lake Erie Col of Osteo Med at Seton Hill Univ, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11850 Blackfoot St NW
Suite 290
Coon Rapids, MN 55433-2593
Phone (763) 236-0808
11850 Blackfoot St NW
Suite 300
Coon Rapids, MN 55433-2772
Phone (763) 236-0808
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6000
520 Osborne Rd NE
Fridley, MN 55432-2718
550 Osborne Rd NE
Fridley, MN 55432-2718
Phone (763) 427-9980
800 E 28TH St
Minneapolis, MN 55407-3723
913 E 26TH St
Minneapolis, MN 55404-4515
PO Box
Minneapolis, MN 55440-0043
Hospital & facility affiliations
- Abbott Northwestern Hospital
- Mercy Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
11850 Blackfoot St NW
Ste 300
Minneapolis, MN 55433
Phone (763) 236-0808
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Ste 401
Minneapolis, MN 55407
Phone (612) 863-0200
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Clinic/Center
- Lakeville, MN
- NPI 1548200405
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 31
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1215469713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 BLACKFOOT ST NW STE 300",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332772",
"telephone_number": "763-236-0808",
"fax_number": "763-236-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "73966",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MN",
"license": "73966",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dcarlson636266@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "11850 Blackfoot St NW Ste 300",
"city": "Coon Rapids",
"state": "MN",
"country_code": "US",
"postal_code": "554332772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coon Rapids, MN
- Molly RM Cardosi, OTR/L
- Jennifer Marie Carey, RDH
- Lindsay Carik
- Caring Chiropractic Center, P.a.
- Melanie Carlson-Kappes, MA, LMFT
- Jeffrey James Carlson, M ED, ATC
- Lindsay Myrene Carlson, OTD, OTR/L
- Sharon Sweeney Carmody, MD
- Cassandra Joice Carney, MASSAGE THERAPIST
- Laura Christina Carroll-Contreras, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.