Active NPI
Manoj Doss, D.O.
- Addiction Medicine (Preventive Medicine) Physician
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 63476
- Practice address
- 9300 Hennepin Town Rd
Eden Prairie, MN 55347-3072 - Phone
- (651) 280-8774
- NPI assigned
- Apr 6, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 63476 | MN | |
| General Practice Physician | 208D00000X | 63476 | MN | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 63476 | MN | Primary |
Addresses
Primary practice location
9300 Hennepin Town Rd
Eden Prairie, MN 55347-3072
Mailing address
9300 Hennepin Town Rd Ste 110
Eden Prairie, MN 55347-3072
Phone (651) 293-8100
Other practice location 1
205 Wabasha St S
Saint Paul, MN 55107-1805
Phone (267) 207-7339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200430001241 | MN | Practitioner - Preventive Medicine | 9638483282 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Institute for Integrative Therapies | Addiction Medicine | Current | Accepting new patients |
| Art of Counseling, PLLC | Current | Accepting new patients | |
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
300 Lake Dr E
Chanhassen, MN 55317
Phone (952) 993-4300
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
275 4th St E
Ste 301
Saint Paul, MN 55101
Phone (651) 318-0109
205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100
1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Eden Prairie, MN
- NPI 1992472419
Addiction Medicine
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1487049599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 HENNEPIN TOWN RD STE 110",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553473072",
"telephone_number": "651-293-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 HENNEPIN TOWN RD",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553473072",
"telephone_number": "651-280-8774"
}
],
"practiceLocations": [
{
"address_1": "205 Wabasha St S",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551071805",
"country_code": "US",
"telephone_number": "267-207-7339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOSS",
"first_name": "MANOJ",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MN",
"license": "63476",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MN",
"license": "63476",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "MN",
"license": "63476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.