Active NPI
Cornelia Dahm, MD
- Pulmonary Disease Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 48592
- Practice address
- 606 24TH Ave S
Ste 106
Minneapolis, MN 55454-1455 - Phone
- (612) 273-5000
- Fax
- (612) 273-5073
- NPI assigned
- Nov 21, 2006
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 48592 | MN | Primary |
Addresses
Primary practice location
606 24TH Ave S
Ste 106
Minneapolis, MN 55454-1455
Mailing address
720 Washington Ave SE
University of Minnesota Physicians
Minneapolis, MN 55414
Phone (612) 884-0649
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 |
|---|---|---|---|---|
| I20070118000387 | MN | Practitioner - Internal Medicine | 5698776656 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Medical Consulting Inc
Practice addresses (Care Compare)
7240 Brooklyn Blvd
Suite 200
Brooklyn Park, MN 55429-1280
Phone (763) 276-4530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Medical Consulting, Inc. | Current | Accepting new patients | |
| Andros ENT & Sleep Center PA | Current | Accepting new patients | |
| University of Minnesota Physicians | Past | Accepting new patients | |
| Northwind Lung Specialists, P.a. | Pulmonary Disease | Past | Accepting new patients |
Locations
7240 Brooklyn Blvd
Ste 200B
Brooklyn Park, MN 55429
5565 Blaine Ave
Ste 225
Inver Grove Heights, MN 55076
Phone (651) 888-7800
7240 Brooklyn Blvd
Ste 200
Minneapolis, MN 55429
Phone (763) 276-4530
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8eec72c0-b1a5-472c-aba8-b566cb8522fc/
- cornelia.dahm.1@9851.direct.athenahealth.com
- https://api.platform.athenahealth.com/9851/brand/2/csg/21/fhir/r4
Organizations & group practices 4
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.
-
- Sleep Medicine (Otolaryngology) Physician
- Inver Grove Heights, MN
- NPI 1578807491
MN
-
- Physician Assistant
- Coon Rapids, MN
- NPI 1114068863
Pulmonary Disease
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1487729273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WASHINGTON AVE SE",
"address_2": "UNIVERSITY OF MINNESOTA PHYSICIANS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55414",
"telephone_number": "612-884-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 24TH AVE S",
"address_2": "STE 106",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541455",
"telephone_number": "612-273-5000",
"fax_number": "612-273-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHM",
"first_name": "CORNELIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "48592",
"primary": true
}
],
"identifiers": [],
"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 Feb 20, 2013; 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.