Individual provider Active NPI

Jonathan Ryhs Strutt, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Minneapolis, MN
National Provider Identifier
1407084205
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
57104 Issued in MN
Practice address
2450 Riverside Avenue
M653 East Building
Minneapolis, MN 55454
Phone
(612) 625-6678
Fax
(612) 626-1144
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 57104 MN Primary

Addresses

Primary practice location

2450 Riverside Avenue
M653 East Building
Minneapolis, MN 55454

Mailing address

2450 Riverside Avenue
M653 East Building
Minneapolis, MN 55454
Phone (612) 625-6678

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000416 MN Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 6507012770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as group
Quality
82.65
Promoting interoperability
100
Improvement activities
40
Cost
77.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Jun 1, 2016 Accepting new patients
Childrens Health Care CurrentSince Feb 1, 2015 Accepting new patients
Childrens Health Care Current Accepting new patients
Fairview Health Services Current Accepting new patients
Childrens Health Care CurrentSince Feb 1, 2015 Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2016 Accepting new patients

Locations

2450 Riverside Ave
#M653
Minneapolis, MN 55454
Phone (612) 624-9668

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

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

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

Interoperability endpoints

  • Direct secure messaging: jstrutt375993@fairview.direct-ci.com

Organizations & group practices 7

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1407084205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVENUE",
            "address_2": "M653 EAST BUILDING",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55454",
            "telephone_number": "612-625-6678",
            "fax_number": "612-626-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVENUE",
            "address_2": "M653 EAST BUILDING",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55454",
            "telephone_number": "612-625-6678",
            "fax_number": "612-626-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUTT",
        "first_name": "JONATHAN",
        "middle_name": "RYHS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MN",
            "license": "57104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.