Individual provider Active NPI

Beth Kristine Thielen, M.D., PH.D.

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1831458793
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57331 Issued in MN
Practice address
420 Delaware St SE
Minneapolis, MN 55455
Phone
(612) 624-9996
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57331 MN Primary
Infectious Disease Physician 207RI0200X 57331 MN
Pediatrics Physician 208000000X 57331 MN
Pediatric Infectious Diseases Physician 2080P0208X 57331 MN

Addresses

Primary practice location

420 Delaware St SE
Minneapolis, MN 55455

Mailing address

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone (612) 624-9996

Other practice location 1

15290 Pennock Ln
Apple Valley, MN 55124
Phone (952) 853-8800

Other practice location 2

15290 Pennock Ln
Apple Valley, MN 55124
Phone (952) 853-8800

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
I20151029002921 MN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3971813189 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
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, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
Fairview Clinics CurrentSince Apr 16, 2016 Accepting new patients
Group Health, Inc. CurrentSince Nov 3, 2015 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Sep 24, 2020 Accepting new patients
Fairview Clinics CurrentSince Apr 16, 2016 Accepting new patients
Fairview Express Care Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Aug 1, 2020 Accepting new patients
Fairview Health Services CurrentSince Apr 16, 2016 Accepting new patients
Fairview Health Services Current Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Group Health, Inc. Current Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Hennepin Healthcare System Inc CurrentSince Aug 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Apr 16, 2016 Accepting new patients
Group Health, Inc. CurrentSince Nov 3, 2015 Accepting new patients
University of Minnesota Physicians CurrentSince Sep 24, 2020 Accepting new patients
University of Minnesota Physicians CurrentSince Sep 24, 2020 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Sep 24, 2020 Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

2512 S 7th St
Minneapolis, MN 55454
Phone (612) 273-4277

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000

15290 Pennock Ln
Saint Paul, MN 55124
Phone (952) 431-8500

2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200

Interoperability endpoints

  • Direct secure messaging: bthielen273342@fairview.direct-ci.com

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1831458793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-624-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-624-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15290 Pennock Ln",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "55124",
            "country_code": "US",
            "telephone_number": "952-853-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15290 Pennock Ln",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "55124",
            "country_code": "US",
            "telephone_number": "952-853-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "BETH",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "57331",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MN",
            "license": "57331",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "57331",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MN",
            "license": "57331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.