NPIMap

Individual provider Active NPI

Michael Joseph Ehlert, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Woodbury, MN
National Provider Identifier
1649447368
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
58754 Issued in MN
Practice address
6025 Lake Rd
Suite 200
Woodbury, MN 55125-1712
Phone
(651) 999-6800
Fax
(651) 999-6830
NPI assigned
May 12, 2008
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
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 4301091947 MI
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 58754 MN Primary

Addresses

Primary practice location

6025 Lake Rd
Suite 200
Woodbury, MN 55125-1712

Mailing address

6025 Lake Rd
Suite 200
Woodbury, MN 55125-1712
Phone (651) 999-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mehlert291943@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
I20150713001065 MN Practitioner - Urology 8527299940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians

Practice addresses (Care Compare)

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

500 Osborne Rd NE
Suite 120
Fridley, MN 55432-2767
Phone (651) 999-6800

Hospital & facility affiliations

  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • Allina Health Faribault Medical Center Hospital, Faribault, MN, CCN 240071
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091947MIMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician
58754MNMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Minnesota Urology, PA CurrentSince Aug 1, 2015 Accepting new patients
Metropolitan Urologic Specialists PA CurrentSince Aug 1, 2015 Accepting new patients
Allina Health System CurrentSince Aug 1, 2015 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Aug 1, 2015 Accepting new patients
Allina Health System Past Accepting new patients

Locations

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

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

3960 Coon Rapids Blvd NW
Ste 301
Coon Rapids, MN 55433

100 State Ave
Faribault, MN 55021
Phone (507) 334-3921

500 Osborne Rd NE
Ste 120
Fridley, MN 55432
Phone (763) 427-9980

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

360 Sherman St
Ste 450
Saint Paul, MN 55102
Phone (651) 641-7100

6025 Lake Rd
Ste 200
Woodbury, MN 55125

Interoperability endpoints

  • Direct secure messaging: michael.ehlert.1@20581.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mehlert291943@excellian.direct.allina.com

Organizations & group practices 7

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1649447368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 LAKE RD",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251712",
            "telephone_number": "651-999-6800",
            "fax_number": "651-999-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LAKE RD",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251712",
            "telephone_number": "651-999-6800",
            "fax_number": "651-999-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERT",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "4301091947",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MN",
            "license": "58754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mehlert291943@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "6025 Lake Rd",
            "address_2": "Suite 200",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551251712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.