Fairview Health Services
Organization Active NPI Emergency Medicine Physician · Minneapolis, MN
NPI 1811077175 · NPPES record last updated Feb 27, 2025
Key facts
- NPI
- 1811077175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- FAIRVIEW HEALTH SERVICES
- Practice address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Phone
- (612) 672-6000
- Fax
- (612) 273-4098
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Maureen V Ring
- Title
- Sys Dir Govt Reimb & Netwk Rel
- Phone
- (612) 672-6740
Practitioners 4,107
-
Fadumasara B Ali, NP
-
Mark J. Allen, M.D.
-
Bilal Alturkmani, M.D.
-
Kelly Awes, CNP
-
Michael J Aylward, M.D.
-
Cody M Bakken, PA-C
-
Brent A Baldwin, M.D.
-
Lindsay Brooke Barrick, PA-C
-
Kristen Bastug, MD
-
Rachel A Beck, RN,.APNP,CNM
-
Krysta Berg, PA-C
-
Megan G Berger, M.D.
-
Clair Gloria Bernard, OTR/L
-
John Peter Biebelhausen, M.D., M.B.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Capitol Park Mental Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (12.1%) | Dec 7, 2021 |
| Accentcare Fairview Home Health - East, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Home Health - West, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Hospice - West, LLC |
Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000461 | MN | Part B Supplier - Clinic/Group Practice | 1951213057 | Receives reassigned benefits from 4,101 practitioners |
National Provider Directory
Locations
501 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516
303 E Nicollet Blvd
Ste 111
Burnsville, MN 55337
290 Main St NW
Ste 120
Elk River, MN 55330
2512 S 7th St
Fl 5
Minneapolis, MN 55454
Phone (612) 273-0088
606 24th Ave S
Ste 301
Minneapolis, MN 55454
Phone (612) 672-6653
15075 Cimarron Ave
Ste 20
Rosemount, MN 55068
Phone (651) 322-8888
2600 39th Ave NE
Ste 220
Saint Anthony, MN 55421
Phone (612) 672-7100
1955 County Road B2 W
Saint Paul, MN 55113
Phone (651) 635-0054
7616 Currell Blvd
Ste 270
Woodbury, MN 55125
Phone (651) 702-7944
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Hospitalist Physician |
208M00000X | |||
| Clinical Nurse Specialist |
364S00000X |
Addresses
Primary practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017945000 | Medicaid | MN | |
| 300050 | Other | MN | UCARE |
| 3903728 | Other | MN | MEDICA |
| 35A82FA | Other | MN | BCBS |
| 62531 | Other | MN | PREFERREDONE |
| 42961 | Other | MN | PREFERREDONE |
| 4600879 | Other | MN | MEDICA |
| 6D402FA | Other | MN | BCBS |
| 120337 | Other | MN | UCARE |
| 9846053 | Other | MN | MEDICA |
| 46773 | Other | MN | HEALTHPARTNERS |
| 28156 | Other | MN | HEALTHPARTNERS |
| 400059 | Other | MN | UCARE |
| 97455 | Other | MN | PREFERREDONE |
| 9839168 | Other | MN | MEDICA |
| 4700034 | Other | MN | MEDICA |
| 73773 | Other | MN | HEALTHPARTNERS |
Other names
- University of MN Medical Center, Fairview - Physicians
Other providers in Minneapolis, MN
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Home Care and Hospice
- Fairview Home Care and Hospice
- Fairview Home Care and Hospice
- Fairview Pharmacy Service LLC
All providers in Minneapolis, MN · Emergency Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.