Active NPI
Erica Seidel, MD
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
National Provider Identifier
1275951378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 390200000
- Practice address
- 1 Veterans Dr
Minneapolis, MN 55417-2309 - Phone
- (612) 467-3977
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 390200000 | MN | Primary |
Addresses
Primary practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Mailing address
1017 Minnehaha Ave W
Saint Paul, MN 55104-1545
Phone (412) 478-7670
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216002217 | MN | Order and Referring Only - Physical Medicine and Rehabilitation | 0941505788 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25977 | MN | MD | Clinical Social Worker |
| 390200000 | MN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1275951378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 MINNEHAHA AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041545",
"telephone_number": "412-478-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "612-467-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEL",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "390200000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.