Individual provider Active NPI

Matthew Robert Vanderloo, M.D.

  • Internal Medicine Physician
  • Edina, MN
National Provider Identifier
1497098297
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60613 Issued in MN
Practice address
7500 France Ave S
Edina, MN 55435-3400
Phone
(952) 835-1311
NPI assigned
Mar 29, 2013
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60613 MN Primary

Addresses

Primary practice location

7500 France Ave S
Edina, MN 55435-3400

Mailing address

5928 Walnut Dr
Edina, MN 55436-1750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvanderloo321302@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160523001080 MN Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Hospitalist 3072816669 Reassigns benefits to 4 organizations
I20190919002347 WI Practitioner - Internal MedicinePractitioner - Hospitalist 3072816669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Cuyuna Regional Medical CenterGroup PAC ID 9537146550, 133 clinicians

Practice addresses (Care Compare)

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

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
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cuyuna Regional Medical Center CurrentSince Oct 8, 2024 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Allina Health System CurrentSince Jun 27, 2016 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Oct 8, 2024 Accepting new patients
Allina Health System CurrentSince Aug 12, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Allina Health System CurrentSince Jun 27, 2016 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
SSM Health Care of Wisconsin, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Mar 23, 2024 Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 23, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
Twin Cities Physicians Professional Corporation CurrentSince Mar 13, 2025 Accepting new patients
St Francis Regional Medical Center Past Accepting new patients

Locations

7153 Solutions Ctr
Chicago, IL 60677

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

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

7500 France Ave S
Minneapolis, MN 55435
Phone (952) 835-1311

1415 Lilac Dr N
Ste 190
Minneapolis, MN 55422
Phone (763) 267-8701

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

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

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1497098297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 WALNUT DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353400",
            "telephone_number": "952-835-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLOO",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "60613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvanderloo321302@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2925 Chicago Ave",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554071321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.