Individual provider Active NPI

Mustafa Orhan Ucer, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Saint Paul, MN
National Provider Identifier
1558335307
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
40185 Issued in MN
Practice address
401 Phalen Blvd
41102D
Saint Paul, MN 55130-5302
Phone
(651) 254-7670
Fax
(651) 254-7676
NPI assigned
Feb 16, 2006
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 40185 MN
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 40185 MN Primary

Addresses

Primary practice location

401 Phalen Blvd
41102D
Saint Paul, MN 55130-5302

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other identifiers 1

IdentifierTypeStateIssuer
169825700MedicaidMN

Other names 1

  • Orhan Ucer Other name

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
I20040401001007 MN Practitioner - Pulmonary DiseasePractitioner - Neurology 4082606769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400

48 29TH Ave N
Saint Cloud, MN 56303-4589
Phone (320) 492-6952

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Jan 4, 2012 Accepting new patients
Fairview Health Services CurrentSince Jan 4, 2012 Accepting new patients
Synergy Sleep Health LLC CurrentSince Feb 11, 2018 Accepting new patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. CurrentSince Apr 1, 2004 Accepting new patients

Locations

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

48 29th Ave N
Saint Cloud, MN 56303
Phone (320) 240-0300

2365 Ariel St N
Saint Paul, MN 55109
Phone (612) 777-8987

401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870

401 Phalen Blvd
#41102D
Saint Paul, MN 55130
Phone (651) 254-7670

3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230

1500 Curve Crest Blvd W
Stillwater, MN 55082

921 Greeley St S
Stillwater, MN 55082

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16680/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mucer31507@direct.healthpartners.com
  • Direct secure messaging: mustafa.ucer.1@16680.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1558335307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PHALEN BLVD",
            "address_2": "41102D",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551305302",
            "telephone_number": "651-254-7670",
            "fax_number": "651-254-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCER",
        "first_name": "MUSTAFA",
        "middle_name": "ORHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "40185",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MN",
            "license": "40185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169825700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORHAN",
            "last_name": "UCER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.