Active NPI
David E Olson, MD
- Sports Medicine (Family Medicine) Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 41695
- Practice address
- 4010 W 65TH St
Edina, MN 55435-1706 - Phone
- (952) 456-7000
- Fax
- (952) 456-7001
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 41695 | MN | Primary |
Addresses
Primary practice location
4010 W 65TH St
Edina, MN 55435-1706
Mailing address
4200 Dahlberg Dr
Suite 300
Golden Valley, MN 55422-4840
Phone (952) 512-5600
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
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Minnesota Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2426 W Broadway Ave
Minneapolis, MN 55411-1735
Phone (612) 302-8200
4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 456-7000
720 Washington Ave SE
Minneapolis, MN 55414-2924
Phone (612) 884-0649
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.67 of 100
- Quality
- 67.02
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Cardiothoracic Surgery Clinic of North Ms | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| St. Croix Orthopaedics, PA | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
2426 W Broadway Ave
Minneapolis, MN 55411
Phone (612) 287-0140
2525 University Ave SE
Minneapolis, MN 55414
Phone (612) 273-7827
516 15th Ave SE
Ste 190E
Minneapolis, MN 55455
Phone (612) 626-2066
4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
Interoperability endpoints
- dolson90093@fairview.direct-ci.com
- davidolson@tw.allscriptsdirect.net
- dolson1905@direct.northmemorial.com
Organizations & group practices 12
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1497830319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR",
"address_2": "SUITE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224840",
"telephone_number": "952-512-5600",
"fax_number": "952-512-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 W 65TH ST",
"city": "EDINA",
"state": "MN",
"postal_code": "554351706",
"telephone_number": "952-456-7000",
"fax_number": "952-456-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DAVID",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MN",
"license": "41695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.