Individual provider Active NPI

Nyan Pyae, M.D.

  • Nephrology Physician
  • Maplewood, MN
National Provider Identifier
1992033922
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
53447 Issued in MN
Practice address
1997 Sloan PL Ste 17
Maplewood, MN 55117-2051
Phone
(517) 726-2516
Fax
(651) 224-9661
NPI assigned
Dec 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11661 ND
Internal Medicine Physician 207R00000X PT 11661 ND
Nephrology Physician 207RN0300X 5447 MN
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 53447 MN Primary

Addresses

Primary practice location

1997 Sloan PL Ste 17
Maplewood, MN 55117-2051

Mailing address

2854 Highway 55 Ste 130
Eagan, MN 55121-1447
Phone (651) 224-4930

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
I20130604000539 MN Practitioner - NephrologyPractitioner - Internal Medicine 6103019732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healtheast Medical Research Institute 665 clinicians
Associated Nephrology Consultants PA 15 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

1700 University Ave W
Saint Paul, MN 55104-3727

1997 Sloan PL
Suite 17
Maplewood, MN 55117-2051
Phone (651) 772-3251

Hospital & facility affiliations

  • DaVita Woodbury Dialysis Dialysis facility, Woodbury, MN, CCN 242536
  • DaVita Phalen Dialysis Dialysis facility, Saint Paul, MN, CCN 242701
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • Hennepin County Medical Center Hospital, Minneapolis, MN, CCN 240004
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PT 11661NDMDInternal Medicine Physician
5447MNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Jan 6, 2023 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Feb 14, 2022 Accepting new patients
Associated Nephrology Consultants, P.a. Nephrology CurrentSince Jan 17, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Feb 14, 2022 Accepting new patients

Locations

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

2854 Highway 55
Ste 130
Saint Paul, MN 55121
Phone (651) 224-4930

1997 Sloan Pl
Ste 17
Saint Paul, MN 55117
Phone (651) 772-6251

1875 Woodwinds Dr
Ste 130
Woodbury, MN 55125
Phone (651) 232-0500

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: npyae44917@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3y297hHso-SAgtaVMIScpv67gSH7SYy3/

Organizations & group practices 7

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1992033922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55 STE 130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211447",
            "telephone_number": "651-224-4930",
            "fax_number": "651-842-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 SLOAN PL STE 17",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172051",
            "telephone_number": "517-726-2516",
            "fax_number": "651-224-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYAE",
        "first_name": "NYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "11661",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "PT 11661",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "5447",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "53447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.