Active NPI
Trond A Stockenstrom, MD
- Ophthalmology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 36846
- Practice address
- 825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402-2708 - Phone
- (612) 338-4861
- Fax
- (612) 333-8306
- NPI assigned
- Jun 13, 2005
- Last updated
- Oct 8, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 36846 | MN | Primary |
Addresses
Primary practice location
825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402-2708
Mailing address
825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402-2708
Phone (612) 338-4861
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0800691 | Other | MN | SELECTCARE |
| 1021630001 | Other | MN | ADMINISTAR FEDERAL NE |
| 47G42DT | Other | MN | BLUE SHIELD |
| 0800691 | Other | MN | MEDICA CHOICE |
| 0800038 | Other | MN | MEDICA PRIMARY |
| 962531028814 | Other | MN | PREFERRED ONE |
| HP34123 | Other | MN | HEALTHPARTNERS |
| 200002101436 | Other | MN | METROPOLITAN HEALTH PLAN |
| 1021630002 | Other | MN | ADMINISTAR FEDERAL DT |
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
- Ophthalmology
- Education
- University of Minnesota Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
825 Nicollet Mall
Suite 2000
Minneapolis, MN 55402-2708
Phone (612) 338-4861
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.52 of 100
- Quality
- 98.93
- Improvement activities
- 40
- Cost
- 76.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 99 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates PA | Ophthalmology | Current | Accepting new patients |
| Eye Care Associates, PA | Ophthalmology | Current | Accepting new patients |
| Eye Care Associates PA | Ophthalmology | Past | Accepting new patients |
Locations
825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402
Phone (612) 338-4861
4001 Stinson Blvd NE
Ste 100
Minneapolis, MN 55421
Phone (612) 338-4861
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Minneapolis, MN
- NPI 1205943214
-
- Ophthalmology Physician
- Minneapolis, MN
- NPI 1194290486
-
- Ophthalmology Physician
- Minneapolis, MN
- NPI 1710906979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191801600000",
"number": "1770587180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL",
"address_2": "STE 2000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022708",
"telephone_number": "612-338-4861",
"fax_number": "612-333-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL",
"address_2": "STE 2000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022708",
"telephone_number": "612-338-4861",
"fax_number": "612-333-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKENSTROM",
"first_name": "TROND",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2007-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "36846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTCARE",
"identifier": "0800691",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL NE",
"identifier": "1021630001",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "47G42DT",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "0800691",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "0800038",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "962531028814",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP34123",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROPOLITAN HEALTH PLAN",
"identifier": "200002101436",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL DT",
"identifier": "1021630002",
"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 Oct 8, 2007; 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.