John Peter Amdahl, MD
Individual provider Active NPI Emergency Medicine Physician · Minnetonka, MN
NPI 1265636740 · NPPES record last updated Jun 16, 2010
Key facts
- NPI
- 1265636740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 52734 (MN)
- Practice address
- 5435 Feltl Rd
Minnetonka, MN 55343-7983 - Phone
- (952) 835-9880
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physicians Professional Association
Practice addresses (Care Compare)
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
4300 Marketpointe Dr
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880
Hospital & facility affiliations
- M Health Fairview Ridges Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.23
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100724000083 | MN | Practitioner - Emergency Medicine | 9133269657 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45129 | TN | MD | Pharmacist |
| 52734 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Professional Association | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Professional Association | Current |
Accepting new patients | |
| Emergency Physicians Professional Association | Current |
Accepting new patients | |
| Sycamore Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
5435 Feltl Rd
Minnetonka, MN 55343
Phone (952) 857-1504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 52734 | MN | Yes |
Addresses
Primary practice location
5435 Feltl Rd
Minnetonka, MN 55343-7983
Mailing address
5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone (953) 857-9880
Other providers in Minnetonka, MN
- Alpha Family Care Inc
- David S Alter
- Maya Alvarado
- Jerrad D Aman
- Amanda Finley PA
- Americare Chiropractic, P.a.
- Peter S. Ames
- Jaclyn Victoria Amoateng
- Karie Amstutz
- Abigail Amundson
All providers in Minnetonka, MN · Emergency Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.