Active NPI
Jonathan Andrew Faust, M.D.
- Anesthesiology Physician
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 49717
- Practice address
- 14700 28TH Ave N
Suite 20
Plymouth, MN 55447-4835 - Phone
- (763) 559-3779
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 49717 | MN | Primary |
Addresses
Primary practice location
14700 28TH Ave N
Suite 20
Plymouth, MN 55447-4835
Mailing address
14700 28TH Ave N
Suite 20
Plymouth, MN 55447-4835
Phone (763) 559-3779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371692000 | 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
- Anesthesiology
- Education
- University of Minnesota Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6786
701 Dellwood St S
Cambridge, MN 55008-1920
Phone (763) 689-7700
Hospital & facility affiliations
- Mercy Hospital
- Cambridge Medical Center
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Anesthesiology | Current | Accepting new patients |
Locations
13601 80th Cir N
Ste 100
Maple Grove, MN 55369
Phone (612) 219-5355
2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Cambridge, MN
- NPI 1013194729
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- Psychiatric Hospital Unit
- Cambridge, MN
- NPI 1104881911
-
- 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1740309285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 28TH AVE N",
"address_2": "SUITE 20",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554474835",
"telephone_number": "763-559-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 28TH AVE N",
"address_2": "SUITE 20",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554474835",
"telephone_number": "763-559-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "JONATHAN",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "49717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371692000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.