Active NPI
Ann T McIntosh, MD
- Emergency Medicine Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 42696
- Practice address
- 6500 Excelsior Blvd
Methodist Hospital
St Louis Park, MN 55426 - Phone
- (952) 993-6080
- Fax
- (952) 993-6047
- NPI assigned
- Mar 31, 2006
- Last updated
- Jul 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 42696 | MN | Primary |
Addresses
Primary practice location
6500 Excelsior Blvd
Methodist Hospital
St Louis Park, MN 55426
Mailing address
5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone (952) 835-9880
Other practice location 1
1815 Wisconsin Ave
Benson, MN 56215-1653
Phone (320) 843-2030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410662800 | Medicaid | MN | |
| 42696 | Other | MN | MN MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amcintosh566644@direct.centracare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, AZ
- 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 |
|---|---|---|---|
| 42696 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Meeker | Current | Accepting new patients | |
| Carris Health LLC | Emergency Medicine | Current | Accepting new patients |
| Swift County Benson Hospital | Current | Accepting new patients | |
| Swift County-Benson Hospital | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Winona Health Services | Current | Accepting new patients | |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Carris Health LLC | Current | Accepting new patients | |
| Healtheast St. John's Hospital | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Minnesota Pathologists Chartered | Current | Accepting new patients | |
| Sibley Medical Center | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968
1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454
1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323
612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- amcintosh566644@direct.centracare.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CentraCare - Rice Memorial Hospital
- Emergency Medicine Physician
- Willmar, MN
- NPI 1134632680
-
dba Meeker Memorial Hospital & Clinics - East/West
- Rural Health Clinic/Center
- Litchfield, MN
- NPI 1083221816
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
dba Fairview Woodwinds Hospital
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
dba Johnson Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Dawson, MN
- NPI 1770697260
-
- Critical Access Hospital
- Benson, MN
- NPI 1174529002
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1427684612
-
dba Dawson Clinic
- Rural Health Clinic/Center
- Dawson, MN
- NPI 1336145796
-
dba Johnson Memorial Nursing Home
- Skilled Nursing Facility
- Dawson, MN
- NPI 1861506354
-
- Anatomic Pathology & Clinical Pathology Physician
- Willmar, MN
- NPI 1992851315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1487615100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 FELTL RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553437983",
"telephone_number": "952-835-9880",
"fax_number": "952-857-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"address_2": "METHODIST HOSPITAL",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55426",
"telephone_number": "952-993-6080",
"fax_number": "952-993-6047"
}
],
"practiceLocations": [
{
"address_1": "1815 Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Benson",
"state": "MN",
"postal_code": "562151653",
"country_code": "US",
"telephone_number": "320-843-2030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINTOSH",
"first_name": "ANN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "42696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410662800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN MEDICAL LICENSE",
"identifier": "42696",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amcintosh566644@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "amcintosh566644@direct.centracare.com",
"address_1": "1815 Wisconsin Ave",
"city": "Benson",
"state": "MN",
"country_code": "US",
"postal_code": "562151653",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.