Active NPI
Douglas A Dubbink, MD
- Anesthesiology Physician
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 32132
- Practice address
- 2620 Eagan Woods Dr Ste 300
Eagan, MN 55121-1138 - Phone
- (651) 968-5201
- NPI assigned
- Aug 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 32132 | MN | Primary |
Addresses
Primary practice location
2620 Eagan Woods Dr Ste 300
Eagan, MN 55121-1138
Mailing address
2620 Eagan Woods Dr Ste 300
Eagan, MN 55121-1138
Phone (651) 968-5201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235218400 | 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
- Anesthesiology
- Education
- Michigan State University College of Human Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Broadway St NE
Suite 500
Minneapolis, MN 55413-2197
Phone (612) 871-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32132 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Network, LLP | Anesthesiology | Current | Accepting new patients |
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Regional Anesthesia Services PA | Anesthesiology | Past | Accepting new patients |
Locations
5705 W Old Shakopee Rd
Ste 150
Bloomington, MN 55437
Phone (612) 870-5530
1185 Town Centre Dr
Ste 205
Eagan, MN 55123
2620 Eagan Woods Dr
Ste 300
Eagan, MN 55121
Phone (651) 968-5215
3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557
2020 E 28th St
Ste 100
Minneapolis, MN 55407
Phone (612) 455-0612
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
237 Radio Dr
Ste 200
Woodbury, MN 55125
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
-
- Anesthesiology Physician
- Minnetonka, MN
- NPI 1073621850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831201581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 EAGAN WOODS DR STE 300",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211138",
"telephone_number": "651-968-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 EAGAN WOODS DR STE 300",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211138",
"telephone_number": "651-968-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBBINK",
"first_name": "DOUGLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "32132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235218400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.