Individual provider Active NPI

Tammy Anne Chiesa, MD

  • Internal Medicine Physician
  • Eagan, MN
National Provider Identifier
1992895304
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36072 Issued in MN
Practice address
2620 Eagan Woods Dr Ste 100
Eagan, MN 55121-1138
Phone
(651) 968-5201
Fax
(651) 968-5903
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36072 MN Primary

Addresses

Primary practice location

2620 Eagan Woods Dr Ste 100
Eagan, MN 55121-1138

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925

Other identifiers 2

IdentifierTypeStateIssuer
144093400MedicaidMN
36072OtherMNMEDICAL LICENSE

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
I20070801000844 MN Practitioner - Internal Medicine 9830188721 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Orthopedics, LTDGroup PAC ID 8921900374, 282 clinicians

Practice addresses (Care Compare)

2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone (651) 968-5201

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053
  • Hutchinson Health Hospital, Hutchinson, MN, CCN 240187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36072MNMDInternal Medicine Physician
4880MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Mar 5, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Summit Orthopedics LTD CurrentSince Sep 25, 2023 Accepting new patients
Summit Orthopedics, LTD Current Accepting new patients
Fairview Express Care CurrentSince Mar 5, 2022 Accepting new patients
Fairview Bethesda Hospital CurrentSince Nov 18, 2010 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast St. John'S Hospital CurrentSince Nov 18, 2010 Accepting new patients
Summit Orthopedics LTD Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Nov 18, 2010 Accepting new patients
Summit Orthopedics, LTD. CurrentSince Sep 25, 2023 Accepting new patients
Healtheast Care System CurrentSince Nov 18, 2010 Accepting new patients
Ilbnc, P.a. Past Accepting new patients
Medical Associates of Minnesota Internal Medicine PastSince May 1, 1995 Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

2620 Eagan Woods Dr
Ste 100
Eagan, MN 55121
Phone (651) 968-5230

2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

17 Exchange St W
Ste 750
Saint Paul, MN 55102
Phone (612) 232-4320

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

1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300

17 Exchange St W
Ste 420
Saint Paul, MN 55102
Phone (651) 232-4125

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

4123 Radio Dr
Woodbury, MN 55129
Phone (651) 968-5300

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

2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801

710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042

Interoperability endpoints

  • Direct secure messaging: tammychiesa@sol.allscriptsdirect.net

Organizations & group practices 31

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 31

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1992895304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 EAGAN WOODS DR STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211138",
            "telephone_number": "651-968-5201",
            "fax_number": "651-968-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIESA",
        "first_name": "TAMMY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "36072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144093400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "36072",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.