Individual provider Active NPI

Ajay K Dhadwal, MBBS

  • Vascular Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1629206032
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
71127 Issued in MN
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

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, ND5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20140321000773 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 6800921362 Reassigns benefits to 1 organization
I20210618000426 NY Practitioner - Vascular Surgery 6800921362 Reassigns benefits to 1 organization
I20230201001619 MN Practitioner - Vascular Surgery 6800921362 Reassigns benefits to 4 organizations
I20231003003770 SC Practitioner - Vascular Surgery 6800921362
I20260324003537 ND Practitioner - Vascular Surgery 6800921362 Reassigns benefits to 1 organization

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
Trinity HealthGroup PAC ID 7911816020, 292 clinicians

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

LicenseStateTypeSpecialty
046756CTMDSurgery Physician
71127MNMDVascular Surgery Physician
23930NDMDVascular Surgery Physician
25MA08690700NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince May 15, 2021 Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Medical Research Insititue CurrentSince Aug 11, 2023 Accepting new patients
Fairview Express Care CurrentSince Jul 22, 2023 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jan 1, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jul 22, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Amboy Medical Practice PC Surgery CurrentSince May 15, 2021 Accepting new patients
Kennedy Medical Group Practice, P.C. Vascular Surgery CurrentSince Jan 1, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics CurrentSince Aug 11, 2023 Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Aug 11, 2023 Accepting new patients
Humc Opco LLC Current Accepting new patients
Fairview Health Services CurrentSince Aug 11, 2023 Accepting new patients
Fairview Clinics CurrentSince Aug 11, 2023 Accepting new patients
Fairview Health Services CurrentSince Aug 11, 2023 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

  • Direct secure messaging: adhadwal792418@fairview.direct-ci.com
  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 6

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": "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": [
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            "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

Verify at the official NPI Registry.