Active NPI
Thomas Bruce Ferrara, M.D.
- Neonatal-Perinatal Medicine Physician
- Maple Grove, MN
National Provider Identifier
1861430605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25982
- Practice address
- 9325 Upland LN N Ste 360
Maple Grove, MN 55369-4463 - Phone
- (612) 322-6903
- NPI assigned
- Jun 3, 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25982 | MN | Primary |
Addresses
Primary practice location
9325 Upland LN N Ste 360
Maple Grove, MN 55369-4463
Mailing address
9325 Upland Lane N
Suite 360
Maple Grove, MN 55369
Phone (612) 322-6903
Other practice location 1
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (612) 322-6903
Other practice location 2
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (612) 813-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25982 | MN | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Maple Grove Hospital Corporation | Past | Accepting new patients | |
| Minnesota Neonatal Physicians PA | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
- Neonatal-Perinatal Medicine Physician
- Maple Grove, MN
- NPI 1881690097
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1861430605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9325 UPLAND LANE N",
"address_2": "SUITE 360",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55369",
"telephone_number": "612-322-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 UPLAND LN N STE 360",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694463",
"telephone_number": "612-322-6903"
}
],
"practiceLocations": [
{
"address_1": "3300 Oakdale Ave N",
"address_purpose": "LOCATION",
"city": "Robbinsdale",
"state": "MN",
"postal_code": "554222926",
"country_code": "US",
"telephone_number": "612-322-6903",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554044518",
"country_code": "US",
"telephone_number": "612-813-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRARA",
"first_name": "THOMAS",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MN",
"license": "25982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.