NPIMap

Individual provider Active NPI

Timothy James Kovanda

  • Neurological Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1477812394
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
63385 Issued in MN
Practice address
913 E 26TH St Ste 305
Minneapolis, MN 55404-4515
Phone
(612) 871-7278
NPI assigned
May 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 63385 MN Primary

Addresses

Primary practice location

913 E 26TH St Ste 305
Minneapolis, MN 55404-4515

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

1120 South Dr
Fessler Hall 224
Indianapolis, IN 46202-5135
Phone (317) 274-8282

Other practice location 2

11850 Blackfoot St NW Ste 490
Coon Rapids, MN 55433-2773
Phone (763) 427-1137

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkovanda398022@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
I20180523000384 MN Practitioner - Neurosurgery 1456598564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
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)

913 E 26TH St
Minneapolis, MN 55404-4515
Phone (612) 871-7278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
69.1 of 100Reported as group
Quality
39.3
Improvement activities
40
Cost
68.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion40
Laminectomy or laminotomy (partial removal of spine bones)14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63385MNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Nov 15, 2024 Accepting new patients
Allina Health System CurrentSince Nov 25, 2024 Accepting new patients
Minnesota Neurosurgical Trauma Associates, PLLC Neurological Surgery CurrentSince Jul 1, 2018 Accepting new patients
Allina Health System CurrentSince Nov 15, 2024 Accepting new patients
Metropolitan Neurosurgery, PA Neurological Surgery CurrentSince Jul 1, 2018 Accepting new patients
Allina Health System Past Accepting new patients

Locations

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

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

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

913 E 26th St
Ste 305
Minneapolis, MN 55404
Phone (612) 871-7278

11850 Blackfoot St NW
Ste 490
Minneapolis, MN 55433
Phone (612) 871-7278

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

2855 Campus Dr
Ste 610
Plymouth, MN 55441
Phone (612) 333-4822

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11793/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.kovanda.1@11793.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1477812394",
    "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": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E 26TH ST STE 305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044515",
            "telephone_number": "612-871-7278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 South Dr",
            "address_2": "Fessler Hall 224",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025135",
            "country_code": "US",
            "telephone_number": "317-274-8282",
            "fax_number": "317-278-3909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11850 Blackfoot St NW Ste 490",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332773",
            "country_code": "US",
            "telephone_number": "763-427-1137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVANDA",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-12",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "63385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkovanda398022@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "913 E 26th St Ste 305",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554044515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.