Active NPI
Elaine Marie Hoffman Holstine, M.D.
- Internal Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39794
- Practice address
- 2220 Riverside Ave
Ms 31700a
Minneapolis, MN 55454-1321 - Phone
- (952) 967-7175
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 39794 | MN | |
| Internal Medicine Physician | 207R00000X | 39794 | MN | Primary |
Addresses
Primary practice location
2220 Riverside Ave
Ms 31700a
Minneapolis, MN 55454-1321
Mailing address
8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516
Phone (952) 967-7175
Other practice location 1
10705 Town Square Dr NE
Suite 100
Blaine, MN 55449-8184
Phone (763) 236-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39794 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Family Healthcare | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Rosebud Indian Health Service | Current | Accepting new patients | |
| Columbia Park Medical Group, PA | Internal Medicine | Past | Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000
Interoperability endpoints
- ehoffmanholstine545511@direct.centracare.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
- Home Health Agency
- Little Falls, MN
- NPI 1952329047
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
-
- Family Medicine Physician
- Fridley, MN
- NPI 1932150117
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1477516482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "952-967-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 RIVERSIDE AVE",
"address_2": "MS 31700A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541321",
"telephone_number": "952-967-7175"
}
],
"practiceLocations": [
{
"address_1": "10705 Town Square Dr NE",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554498184",
"country_code": "US",
"telephone_number": "763-236-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN HOLSTINE",
"first_name": "ELAINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "39794",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "39794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.