DR. JUTTA ELLERMANN M.D. NPI 1104854702

NPI Information

  • NPI: 1104854702
  • Provider Name: DR. JUTTA ELLERMANN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 516 DELAWARE STREET SE
    PWB 1ST FL CLINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
    MINNEAPOLIS, MN
    ZIP 55455
  • Phone: (612) 273-6004

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NPI Details

DR. Jutta Ellermann, M.D. is a diagnostic radiology radiology in Minneapolis, MN with 45 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jutta Ellermann, M.D. NPI is 1104854702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

516 DELAWARE STREET SE
PWB 1ST FL CLINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-6004
Fax: (612) 273-8459

The NPI 1104854702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of arm joint without contrast (HCPCS:73221)

The enumeration date for this NPI number is 6/30/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology42872MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00254464MEDICARE ID-TYPE UNSPECIFIEDMINNESOTARAIL ROAD MEDICARE
20595157MEDICAIDIOWA
3916407300MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMN MA
40097104MEDICAIDMONTANA
534623400MEDICAIDWISCONSIN
62366357OTHERMINNESOTAARAZ
7300003632MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE
8614T7ELOTHERMINNESOTABCBS
9HP56036OTHERMINNESOTAHEALTPARTNERS
101043942OTHERMINNESOTAPREFERRED ONE
1116-02032OTHERMINNESOTAMEDICA PRIMARY
12132952OTHERMINNESOTAUCARE
1316-03394OTHERMINNESOTAMEDICA CHOICE
14I26587MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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