Individual provider Active NPI

Deborah M. Nowak, M.D.

  • Surgery Physician
  • Edina, MN
National Provider Identifier
1386674547
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
48182 Issued in MN
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

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
096028400MedicaidMN

Other names 1

  • Deborah M. Hughes Former name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.