Active NPI
Kejela Haji
- Primary Care Nurse Practitioner
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 8163
- Practice address
- 7505 Metro Blvd
Edina, MN 55439-3081 - Phone
- (952) 914-1720
- Fax
- (952) 914-1727
- NPI assigned
- May 6, 2021
- Last updated
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 8163 | MN | Primary |
Addresses
Primary practice location
7505 Metro Blvd
Edina, MN 55439-3081
Mailing address
656 Glenbrook Ave N
Oakdale, MN 55128-6507
Other practice location 1
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (652) 232-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SOAP | Health Information Exchange (HIE) |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8163 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
7505 Metro Blvd
Minneapolis, MN 55439
Phone (651) 271-1665
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
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.
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba M Health Fairview Walk In Clinic Mall of America
- Clinic/Center
- Bloomington, MN
- NPI 1134773419
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
dba Fairview Pain Management Center
- Pain Medicine Physician
- Wyoming, MN
- NPI 1386193613
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Clinic/Center
- Burnsville, MN
- NPI 1992075501
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1407430473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 GLENBROOK AVE N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 METRO BLVD",
"city": "EDINA",
"state": "MN",
"postal_code": "554393081",
"telephone_number": "952-914-1720",
"fax_number": "952-914-1727"
}
],
"practiceLocations": [
{
"address_1": "1575 Beam Ave",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551091126",
"country_code": "US",
"telephone_number": "652-232-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAJI",
"first_name": "KEJELA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "8163",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SOAP",
"affiliation": "N",
"endpointDescription": "SOAP",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "656 Glenbrook Ave N",
"city": "Oakdale",
"state": "MN",
"country_code": "US",
"postal_code": "551286507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.