Individual provider Active NPI

Andrew J Sheehan, DO

  • Sports Medicine (Family Medicine) Physician
  • Woodbury, MN
National Provider Identifier
1326500117
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
75257 Issued in MN
Practice address
1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone
(651) 232-6700
NPI assigned
Apr 2, 2019
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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
Sports Medicine (Family Medicine) Physician 207QS0010X 75257 MN Primary

Addresses

Primary practice location

1825 Woodwinds Dr
Woodbury, MN 55125-2202

Mailing address

1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone (651) 232-6700

Other practice location 1

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 845-9531

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
I20230920003034 MN Practitioner - Sports MedicinePractitioner - Family Practice 2860720471 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians

Practice addresses (Care Compare)

14101 Fairview Dr
Suite 300
Burnsville, MN 55337-2537
Phone (952) 460-4900

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843

1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6800

201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

911 Northland Dr
Princeton, MN 55371-2172
Phone (855) 324-7843

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc Multi-Specialty CurrentSince Sep 19, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 31, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Multi-Specialty Current Accepting new patients
Fairview Express Care Multi-Specialty Current Accepting new patients
University of Minnesota Physicians Multi-Specialty Current Accepting new patients
Healtheast Medical Research Institute Multi-Specialty CurrentSince Aug 31, 2023 Accepting new patients
Healtheast Medical Research Institute Multi-Specialty Current Accepting new patients
Fairview Express Care Multi-Specialty CurrentSince Aug 31, 2023 Accepting new patients
Fairview Express Care Multi-Specialty CurrentSince Aug 31, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Oct 18, 2023 Accepting new patients
Healtheast Medical Research Institute Multi-Specialty Past Accepting new patients
University of Wisconsin Medical Foundation, Inc Multi-Specialty Past Accepting new patients

Locations

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: asheehan449215@fairview.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1326500117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252202",
            "telephone_number": "651-232-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 WOODWINDS DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252202",
            "telephone_number": "651-232-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Nine Mound Rd",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "WI",
            "postal_code": "535931032",
            "country_code": "US",
            "telephone_number": "608-845-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MN",
            "license": "75257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.