Individual provider Active NPI

David Miller Overman, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Minneapolis, MN
National Provider Identifier
1619916848
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
33317 Issued in MN
Practice address
2530 Chicago Ave
Ste 500
Minneapolis, MN 55404-4291
Phone
(612) 813-8800
Fax
(612) 813-8825
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 33317 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 33317 MN Primary

Addresses

Primary practice location

2530 Chicago Ave
Ste 500
Minneapolis, MN 55404-4291

Mailing address

2530 Chicago Ave
Ste 500
Minneapolis, MN 55404-4291
Phone (612) 813-8800

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other identifiers 2

IdentifierTypeStateIssuer
400707700MedicaidMN
31821500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080602000575 MN Practitioner - Cardiac Surgery 5698868313 Reassigns benefits to 2 organizations
I20190214001233 MN Practitioner - Thoracic Surgery 5698868313 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33317MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Oct 1, 2014 Accepting new patients
Fairview Health Services CurrentSince Oct 1, 2014 Accepting new patients
Childrens Health Care Current Accepting new patients
Mayo Clinic CurrentSince Jan 31, 2019 Accepting new patients
Childrens Health Care CurrentSince Jun 28, 2011 Accepting new patients
Mayo Clinic Current Accepting new patients
Mayo Clinic CurrentSince Jan 31, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Childrens Health Care CurrentSince Jun 28, 2011 Accepting new patients
Childrens Health Care Past Accepting new patients

Locations

2530 Chicago Ave
Ste 500
Minneapolis, MN 55404
Phone (612) 813-8800

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

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

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

Organizations & group practices 11

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1619916848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "STE 500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044291",
            "telephone_number": "612-813-8800",
            "fax_number": "612-813-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "STE 500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044291",
            "telephone_number": "612-813-8800",
            "fax_number": "612-813-8825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERMAN",
        "first_name": "DAVID",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "33317",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "33317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400707700",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31821500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.