Organization Active NPI

University of Minnesota Physicians

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1477598118
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF MINNESOTA PHYSICIANS
Practice address
720 Washington Ave SE Ste 200
Minneapolis, MN 55414-2924
Phone
(612) 672-7422
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
William Sibert
Title
Cfo
Phone
(612) 884-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

720 Washington Ave SE Ste 200
Minneapolis, MN 55414-2924

Mailing address

720 Washington Ave SE Ste 200
Minneapolis, MN 55414-2924
Phone (612) 884-0600

Other identifiers 1

IdentifierTypeStateIssuer
701372800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000532 MN Part B Supplier - Clinic/Group Practice 9830001189 Receives reassigned benefits from 1,617 practitioners
10 other NPIs on this enrollment
Practice locations: Wyoming, MN; St Louis Park, MN; Saint Paul, MN; Saint Cloud, MN; Minneapolis, MN; Bloomington, MN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 38)

303 E Nicollet Blvd
Ste 300
Burnsville, MN 55337
Phone (952) 435-4140

111 Hundertmark Rd
Ste 210
Chaska, MN 55318

11725 Stinson Ave
Bldg A
Chisago City, MN 55013
Phone (651) 257-5494

4000 Central Ave NE
Ste A
Columbia Heights, MN 55421

5050 France Ave S
Ste 150
Edina, MN 55410

6405 France Ave S
Ste W320
Edina, MN 55435
Phone (952) 915-8626

6545 France Ave S
Ste 250
Edina, MN 55435
Phone (952) 836-3600

225 33rd St W
Hastings, MN 55033
Phone (651) 437-6716

606 24th Ave S
Ste 800
Minneapolis, MN 55454
Phone (612) 625-5155

420 Delaware St SE
Ste B435
Minneapolis, MN 55455
Phone (612) 625-1655

420 Delaware St SE
Ste A595
Minneapolis, MN 55455

516 Delaware St SE
Ste 2300
Minneapolis, MN 55455

516 Delaware St SE
#3B
Minneapolis, MN 55455
Phone (612) 625-3600

516 Delaware St SE
#D242
Minneapolis, MN 55455

2512 S 7th St
Ste R102
Minneapolis, MN 55454
Phone (612) 273-9400

516 Delaware St SE
Unit 6B
Minneapolis, MN 55455

909 Fulton St SE
Ste 4G
Minneapolis, MN 55455

2450 Riverside Ave
#F275
Minneapolis, MN 55454
Phone (612) 273-8700

825 S 8th St
Minneapolis, MN 55404
Phone (612) 347-5972

516 15th Ave SE
Minneapolis, MN 55455
Phone (612) 625-0649

516 Delaware St SE
Ste 8100
Minneapolis, MN 55455

516 15th Ave SE
Ste 190
Minneapolis, MN 55455

420 Harvard St SE
Minneapolis, MN 55455
Phone (612) 625-5144

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

606 24th Ave S
Ste 400
Minneapolis, MN 55454
Phone (612) 273-2223

Practitioners 2,080

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,080

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1477598118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON AVE SE STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142924",
            "telephone_number": "612-884-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WASHINGTON AVE SE STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142924",
            "telephone_number": "612-672-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MINNESOTA PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "SIBERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-884-0600"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701372800",
            "state": "MN"
        }
    ],
    "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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.