Active NPI
Yazdaan Juma, M.D.
- Family Medicine Physician
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 64780
- Practice address
- 1495 County Road 101 N
Plymouth, MN 55447-3078 - Phone
- (763) 504-6500
- NPI assigned
- Mar 22, 2016
- Last updated
- Mar 24, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 64780 | MN | Primary |
Addresses
Primary practice location
1495 County Road 101 N
Plymouth, MN 55447-3078
Mailing address
1495 County Road 101 N
Plymouth, MN 55447-3078
Phone (763) 504-6500
Other practice location 1
701 Park Ave
Hennepin County Medical Center Family Medicine
Minneapolis, MN 55415-1623
Phone (612) 872-8082
Other practice location 2
1495 County Road 101 N
Plymouth, MN 55447-3078
Phone (763) 504-6500
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1495 County Rd 101
Plymouth, MN 55447-3078
Phone (763) 504-6500
5700 Bottineau Blvd
Suite 100
Crystal, MN 55429-3184
Phone (763) 504-6500
8170 Old Carriage CT
Suite 100
Shakopee, MN 55379-3164
Phone (952) 428-3600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Regional Medical Center | Current | Accepting new patients | |
| St. Francis Regional Medical Center | Current | Accepting new patients | |
| Allina Health System | Family Medicine | Current | Accepting new patients |
| Allina Health System | Family Medicine | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| NPI 1083910871 | Family Medicine | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
5700 Bottineau Blvd
Ste 100
Minneapolis, MN 55429
Phone (763) 504-6500
14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141
8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600
Interoperability endpoints
- yazdaanjuma@northwestf.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Francis Urgent Care - Southbridge
- Urgent Care Clinic/Center
- Shakopee, MN
- NPI 1447605514
-
dba Northwest Family Clinics
- Family Medicine Physician
- Crystal, MN
- NPI 1548366867
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health Hastings Clinic
- Family Medicine Physician
- Hastings, MN
- NPI 1841596665
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba St Francis Professional Fees
- Low-Risk Neonatal Registered Nurse
- Shakopee, MN
- NPI 1316101900
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Buffalo, MN
- NPI 1063420198
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
Hospital
-
dba North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
Hospital
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1649632324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 COUNTY ROAD 101 N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554473078",
"telephone_number": "763-504-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 COUNTY ROAD 101 N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554473078",
"telephone_number": "763-504-6500"
}
],
"practiceLocations": [
{
"address_1": "701 Park Ave",
"address_2": "Hennepin County Medical Center Family Medicine",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-872-8082",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1495 County Road 101 N",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "554473078",
"country_code": "US",
"telephone_number": "763-504-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUMA",
"first_name": "YAZDAAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "64780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.