Individual provider Active NPI

Daniel J Stein, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Excelsior, MN
National Provider Identifier
1669449674
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
28823 Issued in MN
Practice address
21490 Fairview St
Excelsior, MN 55331-8745
Phone
(612) 899-9368
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 28823 MN Primary

Addresses

Primary practice location

21490 Fairview St
Excelsior, MN 55331-8745

Mailing address

21490 Fairview St
Excelsior, MN 55331-8745
Phone (612) 899-9368

Other identifiers 2

IdentifierTypeStateIssuer
110001945OtherMNPTAN
618573800OtherMEDICAL ASSISTANCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000792 MN Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1759338213 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Virginia Commonwealth University, School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians
Consultative Health and Medicine PAGroup PAC ID 6305024373, 14 clinicians

Practice addresses (Care Compare)

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

2512 S 7TH St
Minneapolis, MN 55454-1404
Phone (612) 273-4197

5520 Ridgewood CV
Minnetrista, MN 55364-8239
Phone 80087305611

911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313

919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344

Hospital & facility affiliations

  • Grace Hospice Hospice, Minneapolis, MN, CCN 241595
  • Interim Healthcare of the Twin Cities, Inc. Hospice, Roseville, MN, CCN 241590
  • Presbyterian Homes Hospice Inc Hospice, Roseville, MN, CCN 241589
  • St Croix Hospice Hospice, Hopkins, MN, CCN 241623
  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • Minnesota Masonic Home Care Center Nursing home, Bloomington, MN, CCN 245343
  • Jones Harrison Residence Nursing home, Minneapolis, MN, CCN 245460
  • Fairview University Trans Serv Nursing home, Minneapolis, MN, CCN 245170
  • MN Veterans Home-MPLS Nursing home, Minneapolis, MN, CCN 245620
  • Martin Luther Care Center Nursing home, Bloomington, MN, CCN 245272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Oct 1, 2011 Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2008 Accepting new patients
Fairview Health Services CurrentSince Oct 1, 2011 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 1, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2022 Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2008 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2022 Accepting new patients
Consultative Health and Medicine, PA CurrentSince Oct 3, 2022 Accepting new patients
Fairview Health Services Past Accepting new patients
Fairview Health Services Past Accepting new patients
Crest View Corporation Past Accepting new patients
Lake Harriet Operator LLC Past Accepting new patients
Minnesota Masonic Home Care Center Past Accepting new patients
Jones Harrison Residence Corporation Past Accepting new patients
Senior Care Forest Lake, LLC Past Accepting new patients
Martin LM LLC Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

3400 W 66th St
Edina, MN 55435
Phone (952) 836-3637

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1401 E 100th St
Minneapolis, MN 55425
Phone (952) 888-7551

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

Interoperability endpoints

  • Direct secure messaging: dstein112651@fairview.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairview Hospital University Minneapolis Transitional Care CenterMinneapolis, MN, CCN 245170 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2024
Aug 5, 2025
Martin LM LLCBloomington, MN, CCN 245272 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2015
Apr 21, 2025
Interim Healthcare of the Twin Cities, Inc.Roseville, MN, CCN 241590 Hospice W-2 Managing Employee Mar 16, 2026
Augustana Mount Olivet Hospice Care, LLCMinneapolis, MN, CCN 241595 Hospice Contracted Managing Employee Jan 1, 2015

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 23

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 23

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1669449674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21490 FAIRVIEW ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553318745",
            "telephone_number": "612-899-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21490 FAIRVIEW ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553318745",
            "telephone_number": "612-899-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MN",
            "license": "28823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "110001945",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "618573800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

Verify at the official NPI Registry.