Active NPI
Daniel M Anderson, MD
- Hematology & Oncology Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 42389
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-3448
- Fax
- (651) 254-3470
- NPI assigned
- Apr 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 46040 | WI | |
| Hematology & Oncology Physician | 207RH0003X | 42389 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
8170 33Rd Ave S
PO Box 1309 Mail Stop 21110Q
Minneapolis, MN 55425-4516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 978129300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Minnesota Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11475 Robinson Dr NW
Coon Rapids, MN 55433-3746
Phone (763) 754-0041
1654 Diffley Rd
Suite 100
Eagan, MN 55122-2237
Phone (651) 641-3900
205 Wabasha Ave S
Saint Paul, MN 55107-1805
233 Radio Dr
Woodbury, MN 55125-5805
Phone (952) 967-7616
2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-0020
2635 University Ave W
Suite 160
Saint Paul, MN 55114-1271
Phone (651) 254-3500
2831 Snelling N Ave
Roseville, MN 55113-2460
Phone (651) 636-4525
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-1990
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
4730 Chicago Ave S
Minneapolis, MN 55407-3570
Phone (952) 967-7485
576 Apollo Dr
Lino Lakes, MN 55014-3004
Phone (651) 784-1611
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456
6845 Lee Ave N
Brooklyn Center, MN 55429-1717
Phone (763) 503-4400
8325 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5868
8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42389 | MN | MD | Hematology & Oncology Physician |
| 46040 | WI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Methodist Hospital | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230
1500 Curve Crest Blvd W
Stillwater, MN 55082
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
921 Greeley St S
West Lakeland, MN 55082
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
Interoperability endpoints
- danderson30510@direct.healthpartners.com
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1578932943
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1306873872
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1629006457
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1679391122
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1962149419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1710949920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "PO BOX 1309 MAIL STOP 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-3448",
"fax_number": "651-254-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DANIEL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "46040",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MN",
"license": "42389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "978129300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.