Active NPI
Gregory R Hanson, MD
- Urology Physician
- Fridley, MN
National Provider Identifier
1699881748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 49996
- Practice address
- 500 Osborne Rd NE
Suite 120
Fridley, MN 55432-2765 - Phone
- (763) 783-8582
- Fax
- (763) 783-8616
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 49996 | MN | Primary |
Addresses
Primary practice location
500 Osborne Rd NE
Suite 120
Fridley, MN 55432-2765
Mailing address
6025 Lake Rd
Suite 200
Woodbury, MN 55125-1712
Phone (651) 999-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00436573 | Other | MN | RR MEDICARE |
| 601125100 | 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
- Urology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Osborne Rd NE
Suite 120
Fridley, MN 55432-2767
Phone (651) 999-6800
Hospital & facility affiliations
- Mercy Hospital
- Abbott Northwestern Hospital
- Welia Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.84 of 100
- Quality
- 64.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49996 | MN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Urology, PA | Urology | Current | Accepting new patients |
Locations
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
3960 Coon Rapids Blvd NW
Ste 301
Coon Rapids, MN 55433
500 Osborne Rd NE
Ste 120
Fridley, MN 55432
Phone (763) 427-9980
2855 Campus Dr
Ste 530
Plymouth, MN 55441
Phone (763) 383-8870
360 Sherman St
Ste 450
Saint Paul, MN 55102
Phone (651) 641-7100
6025 Lake Rd
Ste 200
Woodbury, MN 55125
Interoperability endpoints
- gregory.hanson.1@20581.direct.athenahealth.com
- https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Urology Physician
- Woodbury, MN
- NPI 1912971912
Hospital & facility affiliations 33
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1699881748",
"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": "500 OSBORNE RD NE",
"address_2": "SUITE 120",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322765",
"telephone_number": "763-783-8582",
"fax_number": "763-783-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "GREGORY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "49996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00436573",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "601125100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.