NPIMap

Individual provider Active NPI

Amjad Mehboob

  • Nephrology Physician
  • Saint Paul, MN
National Provider Identifier
1396290763
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
77392 Issued in MN
Practice address
225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592
Phone
(651) 241-5000
Fax
(651) 241-5511
NPI assigned
Aug 16, 2016
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 77392 MN
Nephrology Physician 207RN0300X 77392 MN Primary

Addresses

Primary practice location

225 Smith Ave N Ste 300
Saint Paul, MN 55102-2592

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amehboob674199@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211023000117 FL Practitioner - NephrologyPractitioner - Internal Medicine 3476941436 Reassigns benefits to 1 organization
I20240821003494 MN Practitioner - Internal MedicinePractitioner - Nephrology 3476941436 Reassigns benefits to 2 organizations
I20250310001755 WI Practitioner - Nephrology 3476941436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

225 Smith Ave N
Suite 300
St Paul, MN 55102-2592
Phone (651) 241-5000

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winona Health Services CurrentSince May 1, 2025 Accepting new patients
Allina Health System CurrentSince Sep 30, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
Indi Vasudeva Services Inc Nephrology CurrentSince Oct 15, 2021 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jan 3, 2025 Accepting new patients
Allina Health System CurrentSince Jan 3, 2025 Accepting new patients
Allina Health System CurrentSince Sep 30, 2024 Accepting new patients
Allina Health System Past Accepting new patients

Locations

1502 W Fletcher Ave
Ste 107
Tampa, FL 33612
Phone (813) 549-2392

2605 W Swann Ave
Ste 600
Tampa, FL 33609
Phone (813) 870-2528

4218 W Linebaugh Ave
Tampa, FL 33624
Phone (813) 269-7555

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

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

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155

920 E 28th St
Ste 700
Minneapolis, MN 55407
Phone (612) 863-9062

225 Smith Ave N
Ste 300
Saint Paul, MN 55102
Phone (651) 241-5000

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Interoperability endpoints

  • Direct secure messaging: amehboob140164@direct.mmc.mainehealth.org
  • Direct secure messaging: amehboob674199@excellian.direct.allina.com

Organizations & group practices 10

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1396290763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022592",
            "telephone_number": "651-241-5000",
            "fax_number": "651-241-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHBOOB",
        "first_name": "AMJAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "77392",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "77392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amehboob674199@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "225 Smith Ave N Ste 300",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.