NPIMap

Individual provider Active NPI

Amee Natvar Chandrabalan, D.O.

  • Neurology Physician
  • Lake Elmo, MN
National Provider Identifier
1407101165
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
59871 Issued in MN
Practice address
8515 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8624
Phone
(612) 879-1000
Fax
(612) 879-9116
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 59871 MN Primary

Addresses

Primary practice location

8515 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8624

Mailing address

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5281
Phone (612) 879-1000

Other names 1

  • Amee Soni Former name

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
I20160913001329 MN Practitioner - Neurology 5597051862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noran Neurological Clinic, P.a.Group PAC ID 3971497389, 54 clinicians

Practice addresses (Care Compare)

2828 Chicago Ave
Suite 200
Minneapolis, MN 55407-4187
Phone (612) 879-1000

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
59871MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noran Neurological Clinic P.a. CurrentSince Sep 1, 2016 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Feb 21, 2017 Accepting new patients
Quest Diagnostics LLC Il PastSince Sep 1, 2016 Accepting new patients

Locations

515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273

8515 Eagle Point Blvd
Ste 100
Lake Elmo, MN 55042
Phone (651) 259-9501

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

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

Interoperability endpoints

  • Direct secure messaging: ameechandrabalan@direct.noranclinic.com

Organizations & group practices 4

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1407101165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355281",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 EAGLE POINT BLVD STE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428624",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRABALAN",
        "first_name": "AMEE",
        "middle_name": "NATVAR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "59871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMEE",
            "last_name": "SONI",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Elmo, MN

Sources for this page

Verify at the official NPI Registry.