NPIMap

Individual provider Active NPI

Tiffany K. Weidner, M.D.

  • Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1447637350
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
81314 Issued in MN
Practice address
920 E 28TH St Ste 460
Minneapolis, MN 55407-1139
Phone
(612) 863-7770
Fax
(612) 863-7772
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52991 AZ
Surgical Critical Care Physician 2086S0102X T1602 TX
Surgery Physician 208600000X T1602 TX
Surgery Physician 208600000X 81314 MN Primary

Addresses

Primary practice location

920 E 28TH St Ste 460
Minneapolis, MN 55407-1139

Mailing address

920 E 28TH St Ste 460
Minneapolis, MN 55407-1139
Phone (612) 863-7770

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 743-4130

Other practice location 2

800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220309003049 TX Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 9133435134 Reassigns benefits to 1 organization
I20260211002455 MN Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9133435134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

920 E 26TH St
Suite 540
Minneapolis, MN 55404-4514
Phone (612) 863-6969

920 E 28TH St
Suite 700
Minneapolis, MN 55407-1163
Phone (612) 262-7100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52991AZMDSurgery Physician
81314MNMDSurgery Physician
T1602TXMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Surgery CurrentSince Aug 1, 2023 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Aug 1, 2023 Accepting new patients
Allina Health System Surgery CurrentSince Feb 9, 2026 Accepting new patients
Allina Health System CurrentSince Feb 9, 2026 Accepting new patients
Allina Health System CurrentSince Feb 9, 2026 Accepting new patients
Allina Health System Past Accepting new patients
Sports and Orthopaedic Specialists, PA Past Accepting new patients
Bexar County Hospital District Past Accepting new patients
Ut Physicians PastSince Aug 1, 2021 Accepting new patients
Allina Health System Past Accepting new patients

Locations

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

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

7920 Old Cedar Ave S
Minneapolis, MN 55425
Phone (952) 428-1800

920 E 26TH St
Ste 540
Minneapolis, MN 55404
Phone (612) 863-6969

920 E 26TH St
Ste 540
Minneapolis, MN 55404

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

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

920 E 28th St
Ste 460
Minneapolis, MN 55407
Phone (612) 863-7501

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

2855 Campus Dr
Ste 400
Plymouth, MN 55441
Phone (612) 577-7400

15700 37th Ave N
Ste 300
Plymouth, MN 55446
Phone (612) 870-5555

407 W 66th St
Richfield, MN 55423
Phone (612) 798-8800

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

Organizations & group practices 12

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.

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1447637350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 28TH ST STE 460",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071139",
            "telephone_number": "612-863-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 28TH ST STE 460",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071139",
            "telephone_number": "612-863-7770",
            "fax_number": "612-863-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-743-4130",
            "fax_number": "210-358-1972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073723",
            "country_code": "US",
            "telephone_number": "612-863-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "TIFFANY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "52991",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "T1602",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T1602",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "81314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.