NPIMap

Individual provider Active NPI

Nadiya Orestivna Beliveau, MD

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1366694341
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53270 Issued in MN
Practice address
420 Delaware St SE
MMC 284
Minneapolis, MN 55455-0341
Phone
(612) 624-8199
NPI assigned
Oct 21, 2008
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53270 MN Primary

Addresses

Primary practice location

420 Delaware St SE
MMC 284
Minneapolis, MN 55455-0341

Mailing address

761 Crestview Dr N
Maplewood, MN 55119-3280
Phone (763) 360-4517

Other practice location 1

301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543

Other practice location 2

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbeliveau672158@direct.centracare.com Direct

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
I20130418000329 MN Practitioner - Internal Medicine 8022283373 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare Clinic Southwest LLCGroup PAC ID 8426457946, 172 clinicians

Practice addresses (Care Compare)

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

1700 University Ave W
Saint Paul, MN 55104-3727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53270MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Jan 1, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Park Nicollet Clinic CurrentSince Feb 1, 2020 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Mar 1, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jun 16, 2020 Accepting new patients
Range Regional Health Services CurrentSince Jan 16, 2019 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Nov 25, 2019 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Apr 29, 2013 Accepting new patients
Healtheast Medical Research Institute CurrentSince Apr 29, 2013 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jun 16, 2020 Accepting new patients
Range Regional Health Services Current Accepting new patients
Fairview Health Services CurrentSince Jan 1, 2019 Accepting new patients
Range Regional Health Services CurrentSince Jan 16, 2019 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Park Nicollet Clinic CurrentSince Feb 1, 2020 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Mar 1, 2023 Accepting new patients
Planas and Associates,MD,PC Internal Medicine Past Accepting new patients
Carris Health LLC Past Accepting new patients
Healtheast St. John's Hospital Past Accepting new patients
Integrated Medical Services PLC Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

420 Delaware St SE
Ste MMC284
Minneapolis, MN 55455
Phone (612) 625-5454

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

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

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

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

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

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

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246

101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: nbeliveau187673@fairview.direct-ci.com
  • Direct secure messaging: nbeliveau672158@direct.centracare.com

Organizations & group practices 23

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 23

Hospital & facility affiliations 11

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1366694341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CRESTVIEW DR N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551193280",
            "telephone_number": "763-360-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 284",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-624-8199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Becker Ave SW",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562013302",
            "country_code": "US",
            "telephone_number": "320-235-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Excelsior Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554264702",
            "country_code": "US",
            "telephone_number": "952-993-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELIVEAU",
        "first_name": "NADIYA",
        "middle_name": "ORESTIVNA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "53270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbeliveau672158@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nbeliveau672158@direct.centracare.com",
            "address_1": "301 Becker Ave SW",
            "city": "Willmar",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562013302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.