Individual provider Active NPI

J Bart Muldowney, MN

  • Plastic and Reconstructive Surgery Physician
  • Edina, MN
National Provider Identifier
1952335960
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
27468 Issued in MN
Practice address
7450 France Ave S
Suite 220
Edina, MN 55435-4787
Phone
(952) 925-1111
Fax
(952) 922-3446
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 27468 MN Primary

Addresses

Primary practice location

7450 France Ave S
Suite 220
Edina, MN 55435-4787

Mailing address

7450 France Ave S
Suite 220
Edina, MN 55435-4787
Phone (952) 925-1111

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000274 MN Practitioner - Plastic and Reconstructive Surgery 1355486036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Northwestern University Feinberg Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7450 France Ave S
Edina, MN 55435-4792
Phone (952) 925-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27468MNMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bhatti Gi Surgery Center LLC CurrentSince Jul 1, 2022 Accepting new patients
J. Bart Muldowney MD, PA Single Specialty CurrentSince Jul 1, 1994 Accepting new patients
Southdale Specialty Surgery Center, LLC CurrentSince May 1, 2024 Accepting new patients
Tuttle Plastic Surgery Single Specialty Current Accepting new patients

Locations

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

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

7450 France Ave S
Ste 220
Minneapolis, MN 55435
Phone (952) 925-1111

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1952335960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-925-1111",
            "fax_number": "952-922-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-925-1111",
            "fax_number": "952-922-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDOWNEY",
        "first_name": "J",
        "middle_name": "BART",
        "credential": "MN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "27468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.