NPIMap

Individual provider Active NPI

Timothy Glenn Dirks, MD

  • Cardiovascular Disease Physician
  • Baxter, MN
National Provider Identifier
1477513893
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
41606 Issued in MN
Practice address
13367 Isle Dr
Baxter, MN 56425-2221
Phone
(218) 855-5280
NPI assigned
Mar 28, 2006
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 41606 MN Primary

Addresses

Primary practice location

13367 Isle Dr
Baxter, MN 56425-2221

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdirks86488@excellian.direct.allina.com Direct

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
I20040128000171 MN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032012141 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Minnesota Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

1400 Jefferson Rd
Northfield, MN 55057-3081
Phone (507) 663-9000

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-7843

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41606MNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Minneapolis Heart Institute at Ridgeview Heart Center, LLC Cardiovascular Disease CurrentSince Sep 15, 2023 Accepting new patients
Allina Health System CurrentSince Apr 1, 2026 Accepting new patients
Allina Health System CurrentSince Jun 1, 2001 Accepting new patients
Allina Health System Cardiovascular Disease Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

13205 Isle Dr
#100
Baxter, MN 56425
Phone (218) 855-5280

13367 Isle Dr
Baxter, MN 56425
Phone (218) 855-5280

314 E Main St
Crosby, MN 56441
Phone (218) 546-4334

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

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

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

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

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

920 E 28th St
Ste 300
Minneapolis, MN 55407
Phone (612) 863-3900

920 E 28th St
Ste 560
Minneapolis, MN 55407
Phone (612) 863-3770

920 E 28th St
Ste 610
Minneapolis, MN 55407
Phone (612) 863-6900

1400 Jefferson Rd
Northfield, MN 55057
Phone (507) 663-9000

225 Smith Ave N
Ste 501
Saint Paul, MN 55102
Phone (651) 241-4862

255 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5000

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

424 W State Highway 5
Waconia, MN 55387
Phone (952) 442-4461

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Interoperability endpoints

  • Direct secure messaging: tdirks86488@excellian.direct.allina.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverwood Health Care CenterAitkin, MN, CCN 241305 Hospital Corporate Director Jul 1, 2013
Riverwood Healthcare CenterAitkin, MN, CCN 24Z305 Hospital Corporate Director Jul 1, 2013
Riverwood Healthcare CenterAitkin, MN, CCN 243406 Rural health clinic Corporate Director Jul 1, 2013
Riverwood McGregor ClinicMcGregor, MN, CCN 243407 Rural health clinic Corporate Director Jul 1, 2013
Riverwood Health Care CenterGarrison, MN, CCN 243441 Rural health clinic Corporate Director Jul 1, 2013

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1477513893",
    "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": "13367 ISLE DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252221",
            "telephone_number": "218-855-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "TIMOTHY",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "41606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdirks86488@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "13367 Isle Dr",
            "city": "Baxter",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564252221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

Verify at the official NPI Registry.