Individual provider Active NPI

Phillip Weimerskirch Plager, MD

  • Pediatrics Physician
  • Minneapolis, MN
National Provider Identifier
1992294722
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
69046 Issued in MN
Practice address
2450 Riverside Ave # M136
Minneapolis, MN 55454-1450
Phone
(612) 624-4477
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 69046 MN Primary

Addresses

Primary practice location

2450 Riverside Ave # M136
Minneapolis, MN 55454-1450

Mailing address

2525 Chicago Avenue South
Children'S Health Care
Minneapolis, MN 55404-4518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX, MP3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210519000286 MN Practitioner - Pediatric MedicinePractitioner - Hospitalist 9032457635 Reassigns benefits to 2 organizations
I20210828000069 TX Practitioner - Pediatric Medicine 9032457635 Reassigns benefits to 2 organizations
I20220124002794 MP Practitioner - Pediatric Medicine 9032457635 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Earth Indian Health Center CurrentSince Sep 18, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 19, 2021 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 19, 2021 Accepting new patients
Naytahwaush Health Center CurrentSince Sep 18, 2023 Accepting new patients
Pine Point Health Station Current Accepting new patients
Childrens Health Care Pediatrics CurrentSince Aug 9, 2022 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Childrens Health Care Pediatrics Current Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2021 Accepting new patients
Childrens Health Care CurrentSince Aug 9, 2022 Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2021 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Dec 9, 2021 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Dec 9, 2021 Accepting new patients
Fairview Health Services Current Accepting new patients
Allina Health System Past Accepting new patients

Locations

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

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

2450 Riverside Ave
#M136
Minneapolis, MN 55454
Phone (612) 624-4477

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

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

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1992294722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CHICAGO AVENUE SOUTH",
            "address_2": "CHILDREN'S HEALTH CARE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE # M136",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-624-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAGER",
        "first_name": "PHILLIP",
        "middle_name": "WEIMERSKIRCH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "69046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.