NPIMap

Individual provider Active NPI

Andrew Steven Houghton, MD

  • Sports Medicine (Family Medicine) Physician
  • Plymouth, MN
National Provider Identifier
1578821997
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
56577 Issued in MN
Practice address
2805 Campus Dr
Plymouth, MN 55441-2676
Phone
(763) 577-7615
Fax
(763) 577-7610
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 56577 MN
Sports Medicine (Family Medicine) Physician 207QS0010X 56577 MN Primary

Addresses

Primary practice location

2805 Campus Dr
Plymouth, MN 55441-2676

Mailing address

8100 W 78TH St Ste 230
Edina, MN 55439-2570
Phone (952) 946-9777

Other practice location 1

1601 Saint Francis Ave
Shakopee, MN 55379-3383
Phone (952) 946-9777

Other practice location 2

14000 Nicollet Ave Ste 100
Burnsville, MN 55337-5793
Phone (952) 946-9777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahoughton139498@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000989 MN Practitioner - Family Practice 9739321829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56577MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Sep 29, 2016 Accepting new patients
Allina Health System Current Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Jul 13, 2013 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System CurrentSince Sep 29, 2016 Accepting new patients
Park Nicollet Clinic Family Medicine Current Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Allina Health System Family Medicine Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 100
Burnsville, MN 55337
Phone (950) 985-8275

20795 Keokuk Ave
Lakeville, MN 55044
Phone (952) 428-1030

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

8100 W 78th St
Ste 230
Minneapolis, MN 55439
Phone (888) 892-7575

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

1601 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 428-3535

Interoperability endpoints

  • Direct secure messaging: ahoughton139498@excellian.direct.allina.com

Organizations & group practices 8

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.

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1578821997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST STE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392570",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-577-7615",
            "fax_number": "763-577-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Saint Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793383",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14000 Nicollet Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375793",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "fax_number": "952-946-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "ANDREW",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "56577",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MN",
            "license": "56577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahoughton139498@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2805 Campus Dr",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554412676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.