NPIMap

Eric Patrick Anderson, M.D.

Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Minneapolis, MN

NPI 1962729327 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1962729327
Entity type
Individual (NPI type 1)
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License
65719 (MN)
Practice address
800 E 28TH St Ste 401
Minneapolis, MN 55407-3723
Phone
(612) 863-0200
Fax
(612) 863-0235
NPI assigned
Apr 26, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 16

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 28

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

View all 28

Medicare Care Compare profile

Specialty
Thoracic Surgery
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hennepin Healthcare System Inc (905 clinicians)
Allina Health System (3,844 clinicians)

Practice addresses (Care Compare)

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

800 E 28TH St
Suite 401
Minneapolis, MN 55407-3723
Phone (612) 863-0200

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital · Minneapolis, MN · CCN 240057
  • Hennepin County Medical Center Hospital · Minneapolis, MN · CCN 240004
  • Allina Health Faribault Medical Center Hospital · Faribault, MN · CCN 240071
  • St Francis Regional Medical Center Hospital · Shakopee, MN · CCN 240104
  • Cuyuna Regional Medical Center Hospital · Crosby, MN · CCN 241353

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100 (group)
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100 (group)
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in ND, MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160815001100 ND Practitioner - General Surgery 3375850332 Reassigns benefits to 1 organization
I20190723000042 MN Practitioner - Thoracic Surgery 3375850332 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.143076ILMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
65719MNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Multi-Specialty Current
since Mar 28, 2022		 Accepting new patients
Hennepin Healthcare System Inc Current
since Nov 1, 2021		 Accepting new patients
Sanford Medical Center Fargo Multi-Specialty Current
since Jul 22, 2016		 Accepting new patients
Allina Health System Multi-Specialty Current Accepting new patients
Hennepin Healthcare System, Inc Multi-Specialty Current
since Nov 1, 2021		 Accepting new patients
Sanford Medical Center Fargo Current
since Jul 22, 2016		 Accepting new patients
Allina Health System Current
since Mar 28, 2022		 Accepting new patients
Hennepin Healthcare System, Inc Multi-Specialty Current Accepting new patients
Minnesota Oncology Hematology, PA Multi-Specialty Past Accepting new patients
Hennepin Faculty Associates Multi-Specialty Past Accepting new patients
Allina Health System Past Accepting new patients
Minnesota Oncology Hematology, PA Past
since Jan 12, 2020		 Accepting new patients
Allina Health System Multi-Specialty Past Accepting new patients

Locations

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

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

800 E 28th St
Ste 401
Minneapolis, MN 55407
Phone (612) 863-0200

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

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

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

11850 Blackfoot St NW
Ste 300
Minneapolis, MN 55433
Phone (763) 236-0808

801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • Direct secure messaging: eanderson446990@excellian.direct.allina.com
  • Direct secure messaging: eric.anderson@moh.ikm.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 65719 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208G00000X 036.143076 IL
Student in an Organized Health Care Education/Training Program 390200000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 65719 MN Yes

Addresses

Primary practice location

800 E 28TH St Ste 401
Minneapolis, MN 55407-3723

Mailing address

2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (651) 602-5309

Other practice location 1

516 Delaware St SE
MMC #195
Minneapolis, MN 55455-0356
Phone (612) 626-4959

Other practice location 2

516 Delaware St SE
MMC #195
Minneapolis, MN 55455-0356
Phone (612) 626-4959

Other practice location 3

1650 W Harrison St Ste 466
Chicago, IL 60612-3800
Phone (312) 942-0312

Other practice location 4

910 E 26th St Ste 100-200
Minneapolis, MN 55404
Phone (612) 884-6300

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address eanderson446990@excellian.direct.allina.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962729327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142001",
            "telephone_number": "651-602-5309",
            "fax_number": "651-222-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST STE 401",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-0200",
            "fax_number": "612-863-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Delaware St SE",
            "address_2": "MMC #195",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550356",
            "country_code": "US",
            "telephone_number": "612-626-4959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Delaware St SE",
            "address_2": "MMC #195",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550356",
            "country_code": "US",
            "telephone_number": "612-626-4959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 W Harrison St Ste 466",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123800",
            "country_code": "US",
            "telephone_number": "312-942-0312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E 26th St Ste 100-200",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55404",
            "country_code": "US",
            "telephone_number": "612-884-6300",
            "fax_number": "612-884-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERIC",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "65719",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036.143076",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "65719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eanderson446990@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "800 E 28th St Ste 401",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554073723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.