Individual provider Active NPI

Joel C Hutcheson, MD

  • Pediatric Urology Physician
  • Minneapolis, MN
National Provider Identifier
1548221088
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
47213 Issued in MN
Practice address
2530 Chicago Ave
#550
Minneapolis, MN 55404-4289
Phone
(612) 813-8000
Fax
(612) 813-8005
NPI assigned
Mar 31, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 47213 MN Primary

Addresses

Primary practice location

2530 Chicago Ave
#550
Minneapolis, MN 55404-4289

Mailing address

2530 Chicago Ave
#550
Minneapolis, MN 55404-4289
Phone (612) 813-8000

Other identifiers 1

IdentifierTypeStateIssuer
956419500MedicaidMN

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
I20050421001147 MN Practitioner - Pediatric MedicinePractitioner - Urology 2163412230 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47213MNMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Surgical Associates LTD Pediatric Urology CurrentSince Jun 4, 2012 Accepting new patients

Locations

2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 813-8006

4530 77th St W
Ste 205
Minneapolis, MN 55435
Phone (952) 835-3375

6060 Clearwater Dr
Ste 110
Minnetonka, MN 55343
Phone (612) 813-8800

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

347 Smith Ave N
Ste 502
Saint Paul, MN 55102
Phone (651) 248-2113

5354 Edgewood Dr
Saint Paul, MN 55112

Interoperability endpoints

  • Direct secure messaging: joel.hutcheson@psal.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1548221088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "#550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8000",
            "fax_number": "612-813-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "#550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8000",
            "fax_number": "612-813-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "JOEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "MN",
            "license": "47213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956419500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.