Karen Sugimoto Anderson, MD
Individual provider Active NPI Emergency Medicine Physician · Waconia, MN
NPI 1497982144 · NPPES record last updated Jul 7, 2012
Key facts
- NPI
- 1497982144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 54656 (MN)
- Practice address
- 500 S Maple St
Ed Department
Waconia, MN 55387-1752 - Phone
- (952) 442-2191
- NPI assigned
- Jun 19, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ridgeview Medical Center
Practice addresses (Care Compare)
500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191
7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570
Hospital & facility affiliations
- Ridgeview Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120809000409 | MN | Practitioner - Emergency Medicine | 8820244668 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54656 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Medical Center | Current | Accepting new patients |
Locations
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 54656 | MN | Yes |
Addresses
Primary practice location
500 S Maple St
Ed Department
Waconia, MN 55387-1752
Mailing address
500 S Maple St
Ed Department
Waconia, MN 55387-1752
Phone (952) 442-2191
Other names
- Karen Sugimoto Terwey
Other providers in Waconia, MN
- Christian Dane Adams
- Patricia Mullin Ahrens
- Andrew Akhaphong
- Razan Alsibai
- Alexandra Baker Anderson
- Andrea L Benjamin Malp LTD
- David J C Arens
- Cortland J Arlien
- Tiffany Jean Armstrong
- Nichole Arn
All providers in Waconia, MN · Emergency Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.