Active NPI
Angela Dhruvan, MD
- Family Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40676
- Practice address
- 3809 42ND Ave S
Minneapolis, MN 55406-3503 - Phone
- (612) 721-6261
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40676 | MN | Primary |
Addresses
Primary practice location
3809 42ND Ave S
Minneapolis, MN 55406-3503
Mailing address
3809 42ND Ave S
Minneapolis, MN 55406-3503
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
- Family Practice
- Education
- Mayo Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 881-2651
Hospital & facility affiliations
- Home Health Care Inc
- M Health Fairview Southdale Hospital
- M Health Fairview University of MN Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| University of Minnesota Physicians | Past | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
3809 42nd Ave S
Minneapolis, MN 55406
Phone (612) 407-7213
600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651
2535 University Ave SE
Minneapolis, MN 55414
Phone (612) 672-2350
3033 Excelsior Blvd
Ste 275
Minneapolis, MN 55416
Phone (612) 827-4751
2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000
2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000
580 Rice St
Saint Paul, MN 55103
Phone (651) 227-6551
1151 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (612) 706-4500
Interoperability endpoints
- adhruvan6739@fairview.direct-ci.com
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Primary Care Clinic/Center
- Farmington, MN
- NPI 1043491749
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- Home Health Registered Nurse
- Golden Valley, MN
- NPI 1255440061
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1972579670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 42ND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 42ND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554063503",
"telephone_number": "612-721-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHRUVAN",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "40676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.