Active NPI
Deborah M. Nowak, M.D.
- Surgery Physician
- Edina, MN
National Provider Identifier
1386674547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 48182
- Practice address
- 6565 France Ave S Ste 350
Edina, MN 55435 - Phone
- (612) 389-1093
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 48182 | MN | Primary |
Addresses
Primary practice location
6565 France Ave S Ste 350
Edina, MN 55435
Mailing address
11407 Creekridge Dr
Eden Prairie, MN 55347-4311
Phone (952) 836-8513
Other practice location 1
5001 American Blvd W
Ste 945
Bloomington, MN 55437-1162
Phone (952) 835-6653
Other practice location 2
5001 American Blvd W
Ste 945
Bloomington, MN 55437-1162
Phone (952) 835-6653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096028400 | Medicaid | MN |
Other names 1
- Deborah M. Hughes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Consultants, P.a. | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Edina, MN
- NPI 1366479651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1386674547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11407 CREEKRIDGE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553474311",
"telephone_number": "952-836-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "55435",
"telephone_number": "612-389-1093"
}
],
"practiceLocations": [
{
"address_1": "5001 AMERICAN BLVD W",
"address_2": "STE 945",
"address_purpose": "LOCATION",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371162",
"country_code": "US",
"telephone_number": "952-835-6653",
"fax_number": "952-835-3895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5001 AMERICAN BLVD W",
"address_2": "STE 945",
"address_purpose": "LOCATION",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371162",
"country_code": "US",
"telephone_number": "952-835-6653",
"fax_number": "952-835-3895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWAK",
"first_name": "DEBORAH",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "48182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096028400",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "HUGHES",
"middle_name": "M.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.