Active NPI
Ajay K Dhadwal, MBBS
- Vascular Surgery Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 71127
- Practice address
- 420 Delaware St SE
MMC 195
Minneapolis, MN 55455 - Phone
- (612) 365-5000
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 046756 | CT | |
| Vascular Surgery Physician | 2086S0129X | 88728 | SC | |
| Vascular Surgery Physician | 2086S0129X | 71127 | MN | Primary |
| Vascular Surgery Physician | 2086S0129X | 23930 | ND | |
| Vascular Surgery Physician | 2086S0129X | 25MA08690700 | NJ |
Addresses
Primary practice location
420 Delaware St SE
MMC 195
Minneapolis, MN 55455
Mailing address
6451 N Federal Hwy Ste 800
Fort Lauderdale, FL 33308-1409
Phone (548) 372-5199
Other practice location 1
PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000
Other practice location 2
6451 N Federal Hwy Ste 800
Fort Lauderdale, FL 33308-1409
Phone (954) 837-2519
Other practice location 3
188 Fries Mill Rd Ste N2
Blackwood, NJ 08012-2055
Phone (856) 783-0191
Other practice location 4
3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862
Phone (803) 434-7100
Other practice location 5
150 Bergen St
UH F102, Div of Vascular Surgery,NJMS
Newark, NJ 07103-2496
Phone (973) 972-6295
Other practice location 6
333 Laurel Oak Rd
Voorhees, NJ 08043-4453
Phone (856) 783-0191
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, MN, SC, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046756 | CT | MD | Surgery Physician |
| 71127 | MN | MD | Vascular Surgery Physician |
| 23930 | ND | MD | Vascular Surgery Physician |
| 25MA08690700 | NJ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Insititue | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Amboy Medical Practice PC | Surgery | Current | Accepting new patients |
| Kennedy Medical Group Practice, P.C. | Vascular Surgery | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Surgery | Current | Accepting new patients |
| Humc Opco LLC | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients |
Locations
13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
420 Delaware St SE
Ste 195
Minneapolis, MN 55455
Phone (612) 301-9433
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
188 Fries Mill Rd
Ste M3
Turnersville, NJ 08012
Phone (800) 434-6070
188 Fries Mill Rd
Ste N2
Turnersville, NJ 08012
Phone (609) 206-8507
333 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 344-7360
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
Interoperability endpoints
- adhadwal792418@fairview.direct-ci.com
- ajay.dhadwal@direct.hobokenumc.md
Organizations & group practices 19
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.
-
- Multi-Specialty Clinic/Center
- Minot, ND
- NPI 1083653752
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
Vascular Surgery
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Primary Care Clinic/Center
- Prior Lake, MN
- NPI 1568654341
-
- Specialist
- Saint Paul, MN
- NPI 1679048763
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1629206032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 N FEDERAL HWY STE 800",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081409",
"telephone_number": "548-372-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "MMC 195",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-365-5000"
}
],
"practiceLocations": [
{
"address_1": "PO Box 5010",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587025010",
"country_code": "US",
"telephone_number": "701-418-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6451 N Federal Hwy Ste 800",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333081409",
"country_code": "US",
"telephone_number": "954-837-2519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "188 Fries Mill Rd Ste N2",
"address_purpose": "LOCATION",
"city": "Blackwood",
"state": "NJ",
"postal_code": "080122055",
"country_code": "US",
"telephone_number": "856-783-0191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Richland Medical Park Dr Ste 330",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036862",
"country_code": "US",
"telephone_number": "803-434-7100",
"fax_number": "803-434-6889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Bergen St",
"address_2": "UH F102, Div of Vascular Surgery,NJMS",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032496",
"country_code": "US",
"telephone_number": "973-972-6295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 Laurel Oak Rd",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080434453",
"country_code": "US",
"telephone_number": "856-783-0191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHADWAL",
"first_name": "AJAY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "046756",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "88728",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MN",
"license": "71127",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "ND",
"license": "23930",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA08690700",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.