NPIMap

Individual provider Active NPI

Anna E Marjan, M.D.

  • Vascular Surgery Physician
  • Robbinsdale, MN
National Provider Identifier
1346621919
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
68073 Issued in MN
Practice address
3366 Oakdale Ave N
Robbinsdale, MN 55422-2948
Phone
(763) 559-2171
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 68073 MN Primary

Addresses

Primary practice location

3366 Oakdale Ave N
Robbinsdale, MN 55422-2948

Mailing address

2955 Xenium LN N Ste 40
Plymouth, MN 55441-2668
Phone (763) 559-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824001073 MN Practitioner - Vascular Surgery 4486968971 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

4040 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-4568
Phone (763) 427-9980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
Quality
67.76
Promoting interoperability
100
Improvement activities
40
Cost
62.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)19
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Radiology Associates, LTD. CurrentSince Sep 1, 2020 Accepting new patients
North Memorial Health Care CurrentSince Sep 1, 2020 Accepting new patients
West Imaging, LLC CurrentSince Sep 1, 2020 Accepting new patients
Allina Health System CurrentSince Sep 1, 2020 Accepting new patients
Minnesota Diagnostic Imaging Partners, LLC CurrentSince Sep 1, 2020 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Sep 1, 2020 Accepting new patients
North Memorial Health Care Current Accepting new patients
Allina Health System Past Accepting new patients

Locations

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

4040 Coon Rapids Blvd NW
Ste 120
Minneapolis, MN 55433
Phone (763) 427-9980

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700

2955 Xenium Ln N
Ste 40
Plymouth, MN 55441
Phone (763) 398-2203

2800 Campus Dr
Ste 30
Plymouth, MN 55441
Phone (763) 398-4000

3366 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5281

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

Interoperability endpoints

  • Direct secure messaging: amarjan523005@excellian.direct.allina.com

Organizations & group practices 9

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

Hospital & facility affiliations 12

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1346621919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 XENIUM LN N STE 40",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412668",
            "telephone_number": "763-559-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222948",
            "telephone_number": "763-559-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARJAN",
        "first_name": "ANNA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MN",
            "license": "68073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.