Active NPI
Andrew R Hart, MD
- Internal Medicine Physician
- Minnetonka, MN
National Provider Identifier
1477522142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 72806
- Practice address
- 15450 Highway 7 Ste 100
Minnetonka, MN 55345-3522 - Phone
- (763) 581-8900
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 72806 | MN | Primary |
Addresses
Primary practice location
15450 Highway 7 Ste 100
Minnetonka, MN 55345-3522
Mailing address
12633 Surrey St
Eden Prairie, MN 55347-2866
Phone (765) 491-3455
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097630 | Medicaid | IN | |
| 10825227 | Other | IN | CAQH NUMBER |
| 000000192403 | Other | IN | ANTHEM PROVIDER NUMBER |
| 9397120 | Other | IN | PHCS PID NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahart4@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Hospital & facility affiliations
- North Memorial Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients |
Locations
15450 Highway 7
#100
Minnetonka, MN 55345
Phone (763) 581-8900
15450 Highway 7
Ste 100
Minnetonka, MN 55345
Phone (763) 581-8900
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
Interoperability endpoints
- ahart197636@direct.northmemorial.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
- Primary Care Clinic/Center
- Minnetonka, MN
- NPI 1952732729
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1477522142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12633 SURREY ST",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553472866",
"telephone_number": "765-491-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15450 HIGHWAY 7 STE 100",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553453522",
"telephone_number": "763-581-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "ANDREW",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "72806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100097630",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "10825227",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000192403",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9397120",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahart4@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2600 GREENBUSH ST",
"city": "LAFAYETTE",
"state": "IN",
"country_code": "US",
"postal_code": "479042479",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.