Active NPI
Janet L Bijwadia, M.D.
- Internal Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48103
- Practice address
- 4730 Chicago Ave
Minneapolis, MN 55407-3570 - Phone
- (952) 883-6805
- NPI assigned
- Nov 12, 2007
- Last updated
- Jul 22, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48103 | MN | Primary |
Addresses
Primary practice location
4730 Chicago Ave
Minneapolis, MN 55407-3570
Mailing address
8170 33Rd Ave S
Bloomington, MN 55425-4516
Phone (952) 883-6805
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48103 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Methodist Hospital | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| The Evangelical Lutheran Good Samaritan Society | Past | Accepting new patients | |
| Cerenity Senior Care | Past | Accepting new patients | |
| Mount Olivet Careview Home | Past | Accepting new patients | |
| Group Health Plan, Inc | Past | Accepting new patients | |
| Episcopal Church Home of Minnesota | Past | Accepting new patients | |
| Mount Olivet Home | Past | Accepting new patients | |
| Cerenity-Marian of St. Paul, LLC | Past | Accepting new patients |
Locations
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
4730 Chicago Ave
Minneapolis, MN 55407
Phone (612) 313-0000
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
401 Phalen Blvd
#41103F
Saint Paul, MN 55130
Phone (651) 254-7600
Organizations & group practices 12
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
dba Park Nicollet Methodist Hospital Outpatient Surgery Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
dba Cerenity Care Center on Humboldt
- Skilled Nursing Facility
- Saint Paul, MN
- NPI 1154311280
-
- Skilled Nursing Facility
- Saint Paul, MN
- NPI 1639689409
-
- Skilled Nursing Facility
- Saint Paul, MN
- NPI 1487711321
-
- Student in an Organized Health Care Education/Training Program
- Saint Paul, MN
- NPI 1437276086
-
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1285633537
-
- Nursing Facility/Intermediate Care Facility
- Minneapolis, MN
- NPI 1619976974
-
dba Good Samaritan Society - Ambassador
- Skilled Nursing Facility
- New Hope, MN
- NPI 1114908878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1346420916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "952-883-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073570",
"telephone_number": "952-883-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIJWADIA",
"first_name": "JANET",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-12",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "48103",
"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 Jul 22, 2020; 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.