Individual provider Active NPI

Sarah Kathleen Tillman, MD

  • Obstetrics & Gynecology Physician
  • Maple Grove, MN
National Provider Identifier
1558624171
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
61220 Issued in MN
Practice address
9550 Upland LN N Ste 230
Maple Grove, MN 55369-4484
Phone
(763) 255-3400
Fax
(952) 567-7090
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34960 SC
Obstetrics & Gynecology Physician 207V00000X 61220 MN Primary

Addresses

Primary practice location

9550 Upland LN N Ste 230
Maple Grove, MN 55369-4484

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600

Other practice location 1

6405 France Ave S Ste W400
Edina, MN 55435-2165
Phone (952) 920-2730

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
I20160817000087 MN Practitioner - Obstetrics/Gynecology 7810286564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

6405 France Ave S
Suite W400
Edina, MN 55435-2165
Phone (952) 920-2730

9550 Upland LN N
Suite 230
Maple Grove, MN 55369-4484
Phone (763) 255-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61220MNMDObstetrics & Gynecology Physician
34960SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince May 1, 2025 Accepting new patients
Infinite Health Collaborative, PA Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
North Clinic, PA Obstetrics & Gynecology CurrentSince Sep 1, 2016 Accepting new patients
North Clinic, PA CurrentSince Sep 1, 2016 Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients
Maple Grove Hospital Corporation Past Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

9825 Hospital Dr
Ste 300
Maple Grove, MN 55369
Phone (763) 494-7500

9550 Upland Ln N
Ste 230
Maple Grove, MN 55369
Phone 7632553400 ext. 7073

3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600

5109 36th Ave N
Minneapolis, MN 55422
Phone (630) 632-2648

6405 France Ave S
Ste W400
Minneapolis, MN 55435
Phone (952) 920-2730

9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1558624171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 AMERICAN BLVD W STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314442",
            "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": "9550 UPLAND LN N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694484",
            "telephone_number": "763-255-3400",
            "fax_number": "952-567-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 France Ave S Ste W400",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352165",
            "country_code": "US",
            "telephone_number": "952-920-2730",
            "fax_number": "952-567-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "SARAH",
        "middle_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "34960",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "61220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.