Individual provider Active NPI

Sarah Ann Ndyajunwoha, MD

  • Family Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1700844214
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46059 Issued in MN
Practice address
3033 Excelsior Boulevard Fairview Uptown Clinic
Suite 275
Minneapolis, MN 55416
Phone
(612) 827-4751
Fax
(612) 827-7768
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46059 MN Primary

Addresses

Primary practice location

3033 Excelsior Boulevard Fairview Uptown Clinic
Suite 275
Minneapolis, MN 55416

Mailing address

3033 Excelsior Boulevard Fairview Uptown Clinic
Suite 275
Minneapolis, MN 55416
Phone (612) 827-4751

Other identifiers 1

IdentifierTypeStateIssuer
46059OtherMNSTATE LICENSE

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
I20050202000585 MN Practitioner - Family Practice 2961453428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

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

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732

600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 881-2651

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

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46059MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2005 Accepting new patients
Fairview Clinics Past Accepting new patients
Urgent Care Doctors Office, PA Family Medicine Past Accepting new patients
Regents of the University of Minnesota Past Accepting new patients

Locations

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

3809 42nd Ave S
Minneapolis, MN 55406
Phone (612) 407-7213

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

2535 University Ave SE
Minneapolis, MN 55414
Phone (612) 672-2350

701 25th Ave S
Ste 402
Minneapolis, MN 55454
Phone (612) 672-2900

3033 Excelsior Blvd
Ste 275
Minneapolis, MN 55416
Phone (612) 827-4751

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

1151 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (612) 706-4500

Interoperability endpoints

  • Direct secure messaging: sndyajunwoha8728@fairview.direct-ci.com

Organizations & group practices 5

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1700844214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BOULEVARD FAIRVIEW UPTOWN CLINIC",
            "address_2": "SUITE 275",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "612-827-4751",
            "fax_number": "612-827-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BOULEVARD FAIRVIEW UPTOWN CLINIC",
            "address_2": "SUITE 275",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "612-827-4751",
            "fax_number": "612-827-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDYAJUNWOHA",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "46059",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.