Individual provider Active NPI

Ali Riza Samikoglu, M.D.

  • Psychiatry Physician
  • Minnetonka, MN
National Provider Identifier
1295121275
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
65568 Issued in MN
Practice address
10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500
Phone
(952) 544-6806
Fax
(952) 545-0098
NPI assigned
Apr 7, 2015
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 65568 MN Primary

Addresses

Primary practice location

10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500

Mailing address

10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500
Phone (952) 544-6806

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711000915 MN Practitioner - Psychiatry 5698073401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Choices Psychotherapy LTDGroup PAC ID 8426064338, 29 clinicians

Practice addresses (Care Compare)

10201 Wayzata Blvd
Suite 100
Minnetonka, MN 55305-1500
Phone (952) 544-6806

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Jul 29, 2019 Accepting new patients
Choices Psychotherapy, LTD. CurrentSince Mar 10, 2025 Accepting new patients
Park Nicollet Clinic CurrentSince Jul 29, 2019 Accepting new patients
St. Croix Psychiatric, LLC Psychiatry CurrentSince Jul 24, 2023 Accepting new patients
Family Innovations, Inc. CurrentSince Apr 2, 2024 Accepting new patients
West Central Counseling LLC PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

9325 Upland Ln N
Ste 210
Maple Grove, MN 55369
Phone (855) 914-6117

9555 Upland Ln N
Maple Grove, MN 55369
Phone (952) 993-1440

4510 77th St W
Minneapolis, MN 55435
Phone (952) 230-9100

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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

9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800

10201 Wayzata Blvd
Ste 100
Minnetonka, MN 55305
Phone (952) 544-6806

3007 Harbor Ln N
Ste 1600
Plymouth, MN 55447
Phone (651) 748-5019

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1295121275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 WAYZATA BLVD STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051500",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 WAYZATA BLVD STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051500",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMIKOGLU",
        "first_name": "ALI",
        "middle_name": "RIZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "65568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.