JUTTA ELLERMANN M.D. – NPI #1104854702
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JUTTA ELLERMANN is a radiologist located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1104854702 to JUTTA ELLERMANN on June 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Jul 09, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUTTA ELLERMANN below.

NPI Profile for
JUTTA ELLERMANN

NPI Number
1104854702
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JUTTA ELLERMANN
Credentials
M.D.
Primary location
516 DELAWARE STREET SE
PWB 1ST FL CLINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Phone: (612) 273-6004 Fax: (612) 273-8459
Mailing address
420 DELAWARE STREET SE
MMC 292 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Phone: (612) 626-3345 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JUTTA ELLERMANN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERARAZMN2366357
OTHERBCBSMN614T7EL
OTHERHEALTPARTNERSMNHP56036
OTHERMEDICA CHOICEMN16-03394
OTHERMEDICA PRIMARYMN16-02032
OTHERPREFERRED ONEMN1043942
OTHERUCAREMN132952
MEDICAIDIA0595157
MEDICAIDMT0097104
MEDICAIDWI34623400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MN 42872

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JUTTA ELLERMANN is affiliated with the following medical group(s):
  • HOSPITAL
    • FAIRVIEW LAKES HEALTH SERVICES
      5200 FAIRVIEW BOULEVARD
      WYOMING, MN 55092
    • FAIRVIEW NORTHLAND REGIONAL HOSPITAL
      911 NORTHLAND DR
      PRINCETON, MN 55371
    • M HEALTH FAIRVIEW RIDGES HOSPITAL
      201 EAST NICOLLET BOULEVARD
      BURNSVILLE, MN 55337
    • M HEALTH FAIRVIEW SOUTHDALE HOSPITAL
      6401 FRANCE AVENUE SOUTH
      EDINA, MN 55435
    • M HEALTH FAIRVIEW UNIVERSITY OF MN
      2450 RIVERSIDE AVENUE
      MINNEAPOLIS, MN 55454

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