Active NPI
William G Heegaard, MD
- Emergency Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35932
- Practice address
- 701 Park Ave
Minneapolis, MN 55415-1623 - Phone
- (612) 873-6963
- NPI assigned
- Jun 15, 2006
- Last updated
- Sep 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16469 | ND | |
| Emergency Medicine Physician | 207P00000X | 35932 | MN | Primary |
Addresses
Primary practice location
701 Park Ave
Minneapolis, MN 55415-1623
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Other practice location 1
3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Other practice location 2
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472788600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35932 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Essentia Health Virginia, LLC | Current | Accepting new patients | |
| Essentia Health Moose Lake | Current | Accepting new patients | |
| Essentia Health Moose Lake | Current | Accepting new patients | |
| Northern Pines Medical Center | Current | Accepting new patients | |
| St Marys Medical Center | Current | Accepting new patients | |
| Northern Pines Medical Center | Current | Accepting new patients | |
| St. Mary's Medical Center | Current | Accepting new patients | |
| Moose Lake Community Hospital District | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Past | Accepting new patients | |
| Hennepin Faculty Associates | Past | Accepting new patients | |
| Brainerd Medical Center Inc. | Past | Accepting new patients |
Locations
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334
4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hennepin County Medical Center
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Critical Access Hospital
- Moose Lake, MN
- NPI 1154959880
-
dba Essentia Health Virginia
- General Acute Care Hospital
- Virginia, MN
- NPI 1083617120
-
dba Essentia Health Northern Pines
- Critical Access Hospital
- Aurora, MN
- NPI 1639278609
-
dba Essentia Health St Marys Medical Center
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
-
dba Essentia Health - Holy Trinity Hospital
- Critical Access Hospital
- Graceville, MN
- NPI 1982673620
-
dba Essentia Health Moose Lake Clinic
- Critical Access Hospital Clinic/Center
- Moose Lake, MN
- NPI 1275102048
-
dba Mercy Hospital
- Critical Access Hospital
- Moose Lake, MN
- NPI 1942398029
-
dba Essentia Health Northern Pines Clinic
- Rural Health Clinic/Center
- Aurora, MN
- NPI 1285183046
-
dba Essentia Health St. Mary's Heart and Vascular Center
- Clinic/Center
- Duluth, MN
- NPI 1821835851
-
dba Essentia Health Staples Pharmacy
- Clinic Pharmacy
- Staples, MN
- NPI 1972350486
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1871537449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623",
"telephone_number": "612-873-6963"
}
],
"practiceLocations": [
{
"address_1": "3000 32nd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036132",
"country_code": "US",
"telephone_number": "701-364-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1027 Washington Ave",
"address_purpose": "LOCATION",
"city": "Detroit Lakes",
"state": "MN",
"postal_code": "565013409",
"country_code": "US",
"telephone_number": "218-847-5611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEEGAARD",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ND",
"license": "16469",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "35932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "472788600",
"state": "MN"
}
],
"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 Sep 30, 2024; 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.