Active NPI
Sarah Ann Ndyajunwoha, MD
- Family Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46059
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46059 | Other | MN | STATE 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46059 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
- Family Medicine Physician
- Eden Prairie, MN
- NPI 1447204433
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.