Michael D Eckroth, PA-C
Individual provider Active NPI Surgical Physician Assistant · Minneapolis, MN
NPI 1891727012 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1891727012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 9299 (MN)
- Practice address
- 913 E 26TH St
600
Minneapolis, MN 55404-4515 - Phone
- (612) 775-6200
- Fax
- (612) 775-6222
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (651) 635-9173
2855 Campus Dr
Plymouth, MN 55441-2683
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
701 Dellwood St S
Cambridge, MN 55008-1920
800 E 28TH St
Minneapolis, MN 55407-3723
913 E 26TH St
Minneapolis, MN 55404-4515
Hospital & facility affiliations
- Abbott Northwestern Hospital
- Cambridge Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040127000442 | MN | Practitioner - Physician Assistant | 8729980990 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9299 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
755 Crossroads Campus Dr NE
Ste 100
Buffalo, MN 55313
Phone (763) 684-6300
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
913 E 26th St
Ste 600
Minneapolis, MN 55404
Phone (612) 775-6257
500 Osborne Rd NE
Ste 150
Minneapolis, MN 55432
Phone (763) 236-2500
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
913 E 26th St
#600
Minneapolis, MN 55404
Phone (612) 775-6154
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
2855 Campus Dr
Ste 300
Plymouth, MN 55441
Phone (763) 520-2900
Interoperability endpoints
- meckroth86658@excellian.direct.allina.com
- michael.eckroth.p2@direct.tcspine.nextgenshare.com
- michael.eckrothpa.p22@direct.painphysicians.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9299 | MN | Yes |
Addresses
Primary practice location
913 E 26TH St
600
Minneapolis, MN 55404-4515
Mailing address
913 E 26TH St
600
Minneapolis, MN 55404-4515
Phone (612) 775-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 632667600 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | meckroth86658@excellian.direct.allina.com | Direct |
Other providers in Minneapolis, MN
- Leslie Ann Ecklund
- Megan Ecklund
- Roderick Dale Ecklund
- Peter M Eckman
- Jason David Eckmann
- Steven John Eckstein
- Theresa A Eckstein
- Shylo Eckstrom
- Ecuadorian Express LLC
- Ecumen
All providers in Minneapolis, MN · Surgical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.