Active NPI
Jeremy Russell Allred, M.D.
- Student in an Organized Health Care Education/Training Program
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 420 Delaware Street SE
MMC 480
Minneapolis, MN 55455 - Phone
- (612) 301-3204
- NPI assigned
- Apr 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
420 Delaware Street SE
MMC 480
Minneapolis, MN 55455
Mailing address
420 Delaware St SE
MMC 284
Minneapolis, MN 55455-0341
Phone (612) 626-5031
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
- Internal Medicine
- Education
- Medical College of Wisconsin, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14101 Fairview Dr
Suite 140
Burnsville, MN 55337-2515
Phone (612) 365-5000
14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-6353
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- Fairview Northland Regional Hospital
- M Health Fairview St John'S Hospital
- M Health Fairview Ridges Hospital
- M Health Fairview Southdale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
420 Delaware St SE
Ste MMC284
Minneapolis, MN 55455
Phone (612) 625-5454
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
420 Delaware St SE
#480
Minneapolis, MN 55455
Phone (612) 624-0123
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- jallred323662@fairview.direct-ci.com
Organizations & group practices 16
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Family Medicine Physician
- Edina, MN
- NPI 1538542204
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Eyewear Supplier
- Brooklyn Park, MN
- NPI 1841472644
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1841351749
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- 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": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1821485095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "MMC 284",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-626-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE STREET SE",
"address_2": "MMC 480",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-301-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "JEREMY",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-24",
"last_updated": "2021-06-18",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 18, 2021; 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.