Individual provider Active NPI

Elga Ottlilia Tinger, M.D.

  • Emergency Medicine Physician
  • Plymouth, MN
National Provider Identifier
1548468812
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
56129 Issued in MN
Practice address
14700 28TH Ave N
Suite 25
Plymouth, MN 55447-4835
Phone
(763) 450-5553
NPI assigned
Jul 6, 2007
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 56129 MN Primary
Emergency Medicine Physician 207P00000X A106731 CA
Emergency Medicine Physician 207P00000X 60023-20 WI

Addresses

Primary practice location

14700 28TH Ave N
Suite 25
Plymouth, MN 55447-4835

Mailing address

3037 Fremont Ave S
Minneapolis, MN 55408-2722
Phone (678) 468-9599

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
I20130506000490 MN Practitioner - Emergency Medicine 3971636465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106731CAMDEmergency Medicine Physician
60023-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpartners RC CurrentSince Jul 16, 2024 Accepting new patients
Healthpartners RC CurrentSince Jul 16, 2024 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
Emergency Physicians Professional Association Emergency Medicine Current Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St Francis Past Accepting new patients
Healthpartners RC Past Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

3010 Denmark Ave
Eagan, MN 55121
Phone (651) 789-9900

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

5435 Feltl Rd
Minnetonka, MN 55343
Phone (952) 857-1504

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

Organizations & group practices 9

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1548468812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 FREMONT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082722",
            "telephone_number": "678-468-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 28TH AVE N",
            "address_2": "SUITE 25",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474835",
            "telephone_number": "763-450-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGER",
        "first_name": "ELGA",
        "middle_name": "OTTLILIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "56129",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A106731",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "60023-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.