Active NPI
David J Ridley, M.D.
- Rheumatology Physician
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 26149
- Practice address
- 2854 Highway 55 Ste 190
Eagan, MN 55121-1783 - Phone
- (651) 644-4277
- Fax
- (651) 644-4018
- NPI assigned
- Jul 13, 2006
- Last updated
- Oct 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 26149 | MN | Primary |
Addresses
Primary practice location
2854 Highway 55 Ste 190
Eagan, MN 55121-1783
Mailing address
2854 Highway 55 Ste 130
Eagan, MN 55121-1776
Phone (651) 224-4930
Other practice location 1
2680 Snelling Ave N Ste 120
Roseville, MN 55113-1877
Phone (651) 644-4277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 585090800 | Medicaid | MN |
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
- Rheumatology
- Education
- University of Minnesota Medical School, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2854 Hwy 55
Suite 190
Eagan, MN 55121-1783
Phone (651) 644-4277
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.67 of 100
- Quality
- 71.67
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul Rheumatology P a | Rheumatology | Current | Accepting new patients |
| Alabaster Healthcare LLC | Past | Accepting new patients | |
| Physicians Vein Clinics, PC | Past | Accepting new patients |
Locations
2854 Highway 55
Ste 130
Saint Paul, MN 55121
Phone (651) 224-4930
2854 Highway 55
Ste 190
Saint Paul, MN 55121
Phone (612) 345-9900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFJHDD
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Eagan, MN
- NPI 1053344788
-
- Family Medicine Physician
- Burnsville, MN
- NPI 1407560113
-
- Phlebology Physician
- Sioux Falls, SD
- NPI 1720370133
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1659396000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2854 HIGHWAY 55 STE 130",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211776",
"telephone_number": "651-224-4930",
"fax_number": "651-842-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 HIGHWAY 55 STE 190",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211783",
"telephone_number": "651-644-4277",
"fax_number": "651-644-4018"
}
],
"practiceLocations": [
{
"address_1": "2680 Snelling Ave N Ste 120",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "551131877",
"country_code": "US",
"telephone_number": "651-644-4277",
"fax_number": "651-644-4018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDLEY",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "26149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "585090800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.