Active NPI
Ali Reza Esmaeilzadeh, MD
- Family Medicine Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43644
- Practice address
- 2945 Hazelwood St Ste 100
Maplewood, MN 55109-1242 - Phone
- (651) 232-7800
- NPI assigned
- Mar 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43644 | MN | Primary |
Addresses
Primary practice location
2945 Hazelwood St Ste 100
Maplewood, MN 55109-1242
Mailing address
2396 Arnold Palmer Dr
Blaine, MN 55449-5517
Phone (651) 343-3403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420058600 | 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
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone (651) 232-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43644 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients |
Locations
2945 Hazelwood St
Maplewood, MN 55109
Phone (651) 232-7800
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- aesmaeelzadeh503016@fairview.direct-ci.com
Organizations & group practices 4
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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Clinic/Center
- Woodbury, MN
- NPI 1831145705
-
- Clinic/Center
- Oakdale, MN
- NPI 1073569935
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1790746394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2396 ARNOLD PALMER DR",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495517",
"telephone_number": "651-343-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST STE 100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091242",
"telephone_number": "651-232-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMAEILZADEH",
"first_name": "ALI",
"middle_name": "REZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "43644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420058600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.