Active NPI
Adrianne Rose Mallen, M.D.
- Gynecologic Oncology Physician
- Saint Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 67172
- Practice address
- 6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702 - Phone
- (952) 993-3282
- NPI assigned
- May 21, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 67172 | MN | Primary |
Addresses
Primary practice location
6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702
Mailing address
6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702
Phone (952) 993-3282
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
- Gynecological Oncology
- Education
- University of North Dakota School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11850 Blackfoot St NW
Suite 100
Coon Rapids, MN 55433-2774
Phone (763) 519-7440
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
- Ridgeview Medical Center
- Abbott Northwestern Hospital
- M Health Fairview Ridges Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.19 of 100
- Quality
- 72.34
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Oncology Hematology PA | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Gynecologic Oncology | Current | Accepting new patients |
| Minnesota Oncology Hematology, PA | Gynecologic Oncology | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients |
Locations
1175 Paysphere Cir
Chicago, IL 60674
675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516
110105 Pioneer Trl W
Chaska, MN 55318
Phone (952) 361-5800
10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316
910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300
480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620
11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100
6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900
2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440
2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309
1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480
310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500
2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335
560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006
6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414
Interoperability endpoints
- adrianne.mallen@moh.ikm.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.
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
Gynecologic Oncology
-
- Community/Retail Pharmacy
- Maple Grove, MN
- NPI 1811601123
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
Gynecologic Oncology
Hospital & facility affiliations 30
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1831535558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLEN",
"first_name": "ADRIANNE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MN",
"license": "67172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.