NPIMap

Individual provider Active NPI

Matthew John O'Shaughnessy, MD, PHD

  • Urology Physician
  • Edina, MN
National Provider Identifier
1881867810
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
269142 Issued in NY
Practice address
6525 France Ave S Ste 200
Edina, MN 55435-2176
Phone
(952) 927-6501
Fax
(952) 653-1435
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 269142 NY Primary

Addresses

Primary practice location

6525 France Ave S Ste 200
Edina, MN 55435-2176

Mailing address

6525 France Ave S Ste 200
Edina, MN 55435-2176
Phone (952) 927-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920003106 MN Practitioner - Urology 3779702154 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

2855 Campus Dr
Suite 650
Plymouth, MN 55441-2665
Phone (763) 270-3400

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

800 E 28TH St
Minneapolis, MN 55407-3723

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
64.59
Promoting interoperability
100
Improvement activities
40
Cost
84.88

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection22
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
269142NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince May 20, 2018 Accepting new patients
Minnesota Urology, PA Urology CurrentSince Mar 5, 2018 Accepting new patients
Allina Health System CurrentSince May 20, 2018 Accepting new patients
Bhatti Gi Surgery Center LLC CurrentSince Dec 26, 2024 Accepting new patients
Southdale Specialty Surgery Center, LLC CurrentSince Dec 26, 2024 Accepting new patients

Locations

1447 White Oak Dr
Chaska, MN 55318
Phone (952) 368-3800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

6500 Barrie Rd
Ste 300
Minneapolis, MN 55435
Phone (952) 368-3800

7500 France Ave S
Minneapolis, MN 55435
Phone (952) 835-1311

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

6525 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 848-8890

2855 Campus Dr
Ste 650
Plymouth, MN 55441
Phone (763) 270-3400

2855 Campus Dr
Ste 530
Plymouth, MN 55441
Phone (763) 383-8870

3366 Oakdale Ave N
Ste 303
Robbinsdale, MN 55422
Phone (763) 529-6454

360 Sherman St
Ste 450
Saint Paul, MN 55102
Phone (651) 641-7100

6025 Lake Rd
Ste 200
Woodbury, MN 55125

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4
  • Direct secure messaging: moshaughnessy366586@excellian.direct.allina.com
  • Direct secure messaging: matthew.o.shaughnessy.1@20581.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881867810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352176",
            "telephone_number": "952-927-6501",
            "fax_number": "952-653-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352176",
            "telephone_number": "952-927-6501",
            "fax_number": "952-653-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHAUGHNESSY",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "269142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.