Individual provider Active NPI

Abigail Holley Houts, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Faribault, MN
National Provider Identifier
1700947173
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
52673 Issued in MN
Practice address
400 4TH St NW
Faribault, MN 55021-5089
Phone
(507) 384-6830
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.117796 IL
Internal Medicine Physician 207R00000X 52673 MN
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036.117796 IL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 52673 MN Primary

Addresses

Primary practice location

400 4TH St NW
Faribault, MN 55021-5089

Mailing address

4945 1St Ave S
Minneapolis, MN 55419-5605

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
I20100614000910 MN Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5799827184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Minnesota Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Cities ClinicGroup PAC ID 7517912991, 6 clinicians

Practice addresses (Care Compare)

400 4TH St NW
Faribault, MN 55021-5031
Phone (507) 384-6830

4945 1St Ave S
Minneapolis, MN 55419-5605
Phone (612) 808-9375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117796ILMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wraparound House Calls, LLC CurrentSince Dec 21, 2018 Accepting new patients
Southern Cities Clinic CurrentSince Apr 1, 2019 Accepting new patients
Anoka Metro Regional Treatment Center CurrentSince Dec 1, 2024 Accepting new patients
Chicago Reach Foundation Internal Medicine Past Accepting new patients
Southern Cities Community Clinic PastSince Apr 1, 2019 Accepting new patients
Optimal Potential, Inc. Past Accepting new patients

Locations

3301 7th Ave
Anoka, MN 55303
Phone (651) 431-5000

400 4th St NW
Faribault, MN 55021
Phone (507) 384-6830

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1700947173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 4TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215089",
            "telephone_number": "507-384-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUTS",
        "first_name": "ABIGAIL",
        "middle_name": "HOLLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.117796",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "52673",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036.117796",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MN",
            "license": "52673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.