Individual provider Active NPI

Plamen P Todorow, MD

  • Neurology Physician
  • Blaine, MN
National Provider Identifier
1497736045
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
53763 Issued in MN
Practice address
11091 Ulysses St NE Ste 100
Blaine, MN 55434-4238
Phone
(612) 879-1000
Fax
(612) 879-9116
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 53763 MN Primary

Addresses

Primary practice location

11091 Ulysses St NE Ste 100
Blaine, MN 55434-4238

Mailing address

3601 Minneosta Drive
Suite 200
Bloomington, MN 55435-5202
Phone (612) 879-1000

Other practice location 1

8515 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8624
Phone (612) 879-1000

Other practice location 2

3601 Minneosta Drive
Suite 200
Bloomington, MN 55435-5202
Phone (612) 879-1000

Other practice location 3

2855 Campus Dr Ste 570
Plymouth, MN 55441-2688
Phone (612) 879-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, GA2 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
I20090306000092 MN Practitioner - Neurology 0143254755 Reassigns benefits to 1 organization
I20190313001828 GA Practitioner - Neurology 0143254755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noran Neurological Clinic, P.a.Group PAC ID 3971497389, 54 clinicians

Practice addresses (Care Compare)

11091 Ulysses St NE
Suite 100
Blaine, MN 55434-4238
Phone (612) 879-1000

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53763MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Georgia Inc CurrentSince Nov 5, 2018 Accepting new patients
Northeast Georgia Physicians Group Inc Neurology CurrentSince Jul 19, 2023 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Oct 31, 2025 Accepting new patients
St. Joseph'S Medical Center Past Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

105 Willowbrook Way SE
Calhoun, GA 30701
Phone (706) 625-6999

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

1315 Jesse Jewell Pkwy NE
Ste 300
Gainesville, GA 30501
Phone (770) 219-6520

11091 Ulysses St NE
Ste 100
Blaine, MN 55434
Phone (763) 783-3377

8515 Eagle Point Blvd
Ste 100
Lake Elmo, MN 55042
Phone (651) 259-9501

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

2855 Campus Dr
Ste 570
Plymouth, MN 55441
Phone (763) 553-2073

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1497736045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MINNEOSTA DRIVE",
            "address_2": "SUITE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355202",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11091 ULYSSES ST NE STE 100",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344238",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8515 Eagle Point Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550428624",
            "country_code": "US",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 Minneosta Drive",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554355202",
            "country_code": "US",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2855 Campus Dr Ste 570",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554412688",
            "country_code": "US",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODOROW",
        "first_name": "PLAMEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "53763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

Verify at the official NPI Registry.