Active NPI
Polly Ann Quiram, MD
- Ophthalmology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301085965
- Practice address
- 7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800 - Phone
- (952) 929-1131
- Fax
- (952) 897-1178
- NPI assigned
- Jul 2, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301085965 | MI | Primary |
Addresses
Primary practice location
7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800
Mailing address
7760 France Ave S
Suite 310
Minneapolis, MN 55435-5800
Phone (952) 929-1131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4740432 | Medicaid | MI |
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 |
|---|---|---|---|---|
| I20070705000131 | MN | Practitioner - Ophthalmology | 0749221950 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Mayo Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitreoretinal Surgery PLLC
Practice addresses (Care Compare)
3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131
Hospital & facility affiliations
- Abbott Northwestern Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085965 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreoretinal Surgery PLLC | Ophthalmology | Current | Accepting new patients |
| Alliance Physicians Inc | Past | Accepting new patients | |
| Associated Retinal Consultants, PC | Ophthalmology | Past | Accepting new patients |
Locations
11855 Ulysses St NE
Ste 110
Blaine, MN 55434
Phone (763) 235-4104
3601 W 76th St
Fl 3
Edina, MN 55435
99 Navaho Ave
Ste 100
Mankato, MN 56001
Phone (507) 385-1311
2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292
7760 France Ave S
Ste 310
Minneapolis, MN 55435
Phone (952) 897-1175
3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175
4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353
6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002
7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Ophthalmology Physician
- Royal Oak, MI
- NPI 1215003793
Ophthalmology
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1366471013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 FRANCE AVE S",
"address_2": "SUITE 310",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554355800",
"telephone_number": "952-929-1131",
"fax_number": "952-897-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 FRANCE AVE S",
"address_2": "SUITE 310",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554355800",
"telephone_number": "952-929-1131",
"fax_number": "952-897-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIRAM",
"first_name": "POLLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301085965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4740432",
"state": "MI"
}
],
"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 11, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.