Active NPI
Roli Dwivedi, MBBS
- Family Medicine Physician
- Minneapolis, MN
National Provider Identifier
1629258751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 51092
- Practice address
- 2001 Bloomington Avenue
Minneapolis, MN 55404-3089 - Phone
- (612) 301-3433
- Fax
- (612) 627-4205
- NPI assigned
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 51092 | MN | Primary |
Addresses
Primary practice location
2001 Bloomington Avenue
Minneapolis, MN 55404-3089
Mailing address
2001 Bloomington Ave
Minneapolis, MN 55404-3089
Phone (612) 301-3433
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091119000683 | MN | Practitioner - Family Practice | 5890834402 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Bloomington Ave S
Minneapolis, MN 55404-3074
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients |
Locations
2001 Bloomington Ave
Minneapolis, MN 55404
Phone (612) 301-3433
Interoperability endpoints
- rdwivedi288298@direct.ochin.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Community -University Health Care Center | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jul 1, 2022 Jul 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
Corporate Officer, W-2 Managing Employee
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
- Clinic Pharmacy
- Minneapolis, MN
- NPI 1528288875
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1629258751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BLOOMINGTON AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043089",
"telephone_number": "612-301-3433",
"fax_number": "612-627-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 BLOOMINGTON AVENUE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043089",
"telephone_number": "612-301-3433",
"fax_number": "612-627-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWIVEDI",
"first_name": "ROLI",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "51092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.