Individual provider Active NPI

Cornelia Dahm, MD

  • Pulmonary Disease Physician
  • Minneapolis, MN
National Provider Identifier
1487729273
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
48592 Issued in MN
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

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000387 MN Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Other (Physician) 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 IncGroup PAC ID 6709192651, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Midwest Medical Consulting, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Andros ENT & Sleep Center PA CurrentSince Jan 1, 2015 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8eec72c0-b1a5-472c-aba8-b566cb8522fc/
  • Direct secure messaging: cornelia.dahm.1@9851.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.