Active NPI
Isaac Felemovicius, M.D.
- Colon & Rectal Surgery Physician
- Maple Grove, MN
National Provider Identifier
1881649291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 39558
- Practice address
- 9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768 - Phone
- (763) 587-7900
- Fax
- (763) 494-7501
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 39558 | MN | Primary |
Addresses
Primary practice location
9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Mailing address
9201 W Broadway Ave Ste 601
Brooklyn Park, MN 55445-1924
Phone (763) 587-7900
Other practice location 1
15655 37th Ave N Ste 100
Plymouth, MN 55446-4003
Phone (763) 587-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32584200 | Medicaid | MN |
Other names 1
- Isaac Felemovicius - Hermangus
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | isaac.felemovicius@nor.eclinicaldirectplus.com |
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
- Colorectal Surgery (Proctology)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9825 Hospital Dr
Suite 300
Maple Grove, MN 55369-4768
Phone (763) 587-7900
Hospital & facility affiliations
- North Memorial Health Hospital
- Maple Grove Hospital
- Abbott Northwestern Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39558 | MN | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clinic, PA | Colon & Rectal Surgery | Current | Accepting new patients |
| North Clinic, PA | Current | Accepting new patients | |
| Pelvic Floor Center, LLC | Colon & Rectal Surgery | Past | Accepting new patients |
| Colon & Rectal Surgery Associates LTD | Colon & Rectal Surgery | Past | Accepting new patients |
Locations
9825 Hospital Dr
Ste 300
Maple Grove, MN 55369
Phone (763) 494-7500
5109 36th Ave N
Minneapolis, MN 55422
Phone (630) 632-2648
9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933
50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625
15655 37th Ave N
Ste 100
Plymouth, MN 55446
Phone (612) 293-7822
Interoperability endpoints
- isaac.felemovicius@nor.eclinicaldirectplus.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.
-
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
-
- Colon & Rectal Surgery Physician
- Minneapolis, MN
- NPI 1376596775
-
- Colon & Rectal Surgery Physician
- Minneapolis, MN
- NPI 1538107743
Hospital & facility affiliations 28
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": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1881649291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 W BROADWAY AVE STE 601",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554451924",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 HOSPITAL DR STE 300",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694768",
"telephone_number": "763-587-7900",
"fax_number": "763-494-7501"
}
],
"practiceLocations": [
{
"address_1": "15655 37th Ave N Ste 100",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MN",
"postal_code": "554464003",
"country_code": "US",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELEMOVICIUS",
"first_name": "ISAAC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MN",
"license": "39558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32584200",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "isaac.felemovicius@nor.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "9825 Hospital Dr Ste 300",
"city": "Maple Grove",
"state": "MN",
"country_code": "US",
"postal_code": "55369",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ISAAC",
"last_name": "FELEMOVICIUS - HERMANGUS",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}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 Nov 7, 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.