Individual provider Active NPI

Pezhman Roohani, M.D.

  • Neurology Physician
  • Minneapolis, MN
National Provider Identifier
1255650826
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
107422 Issued in MN
Practice address
2828 Chicago Ave
Suite 200
Minneapolis, MN 55407-1544
Phone
(612) 879-1000
Fax
(612) 879-9116
NPI assigned
May 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 107422 MN Primary

Addresses

Primary practice location

2828 Chicago Ave
Suite 200
Minneapolis, MN 55407-1544

Mailing address

2828 Chicago Ave
Suite 200
Minneapolis, MN 55407-1544
Phone (612) 879-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address proohani221798@excellian.direct.allina.com Direct

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
I20140521001323 MN Practitioner - Neurology 2365665213 Reassigns benefits to 9 organizations
I20220511002447 WI Practitioner - Neurology 2365665213 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Medical Center IncGroup PAC ID 8022000447, 80 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Cuyuna Regional Medical CenterGroup PAC ID 9537146550, 133 clinicians
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians

Practice addresses (Care Compare)

1615 Maple LN
Ashland, WI 54806-3626
Phone (715) 682-5500

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (952) 442-2191

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-7400

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

800 E 28TH St
Suite 401
Minneapolis, MN 55407-3723
Phone (612) 863-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107422MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cuyuna Regional Medical Center CurrentSince Jul 30, 2024 Accepting new patients
Memorial Medical Center Inc CurrentSince Jan 24, 2025 Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
Northfield Hospital CurrentSince Jan 20, 2024 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Oct 10, 2025 Accepting new patients
Glencoe Regional Health Services CurrentSince Jun 2, 2022 Accepting new patients
Memorial Medical Center Inc CurrentSince Jan 24, 2025 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Jul 30, 2024 Accepting new patients
Medical Services, Inc CurrentSince Nov 22, 2023 Accepting new patients
Allina Health System Current Accepting new patients
St. Joseph'S Medical Center CurrentSince Apr 18, 2022 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Glencoe Regional Health Services CurrentSince Jun 2, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Medical Services, Inc CurrentSince Nov 22, 2023 Accepting new patients
Burnett Medical Center Inc Current Accepting new patients
St Joseph'S Medical Center CurrentSince Apr 18, 2022 Accepting new patients
Allina Health System CurrentSince Jul 1, 2014 Accepting new patients
Allina Health System CurrentSince Jul 1, 2014 Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
Noran Neurological Clinic P.a. CurrentSince May 26, 2014 Accepting new patients
Quest Diagnostics LLC Il PastSince May 26, 2014 Accepting new patients
Burnett Medical Center Inc Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

800 E 28th St
Ste 401
Minneapolis, MN 55407
Phone (612) 863-0200

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

2000 23rd St S
Ste 200
Sartell, MN 56377
Phone (320) 534-2250

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Interoperability endpoints

  • Direct secure messaging: pezhmanroohani@direct.noranclinic.com

Organizations & group practices 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1255650826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CHICAGO AVE",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071544",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CHICAGO AVE",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071544",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOHANI",
        "first_name": "PEZHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "107422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "proohani221798@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "701 Dellwood St S",
            "city": "Cambridge",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550081920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.