Individual provider Active NPI

Trond A Stockenstrom, MD

  • Ophthalmology Physician
  • Minneapolis, MN
National Provider Identifier
1770587180
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36846 Issued in MN
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0800691OtherMNSELECTCARE
1021630001OtherMNADMINISTAR FEDERAL NE
47G42DTOtherMNBLUE SHIELD
0800691OtherMNMEDICA CHOICE
0800038OtherMNMEDICA PRIMARY
962531028814OtherMNPREFERRED ONE
HP34123OtherMNHEALTHPARTNERS
200002101436OtherMNMETROPOLITAN HEALTH PLAN
1021630002OtherMNADMINISTAR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000635 MN Practitioner - Ophthalmology 2466413448 Reassigns benefits to 1 organization

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
Eye Care Associates PAGroup PAC ID 8729000435, 5 clinicians

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 100Reported as group
Quality
98.93
Improvement activities
40
Cost
76.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates PA Ophthalmology CurrentSince Jan 1, 2002 Accepting new patients
Eye Care Associates, PA Ophthalmology CurrentSince Jan 1, 2002 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.

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

Verify at the official NPI Registry.