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DR. THEODORE A LONGINOW M.D.
NPI 1003928177
Internal Medicine in Fridley, MN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
550 OSBORNE RD NE, FRIDLEY, MN 55432(763) 236-5000 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theodore A Longinow M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE A LONGINOW M.D. (NPI 1003928177) is an individual internal medicine provider in Fridley, Minnesota, licensed in Minnesota (27234) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1003928177
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THEODORE A LONGINOWCredential: M.D.
Location Address550 OSBORNE RD NEFridley, MN 55432-2718
Mailing Address10773 Artesian LnWoodbury, MN 55129-5239 · (651) 436-6142
Phone(763) 236-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1003928177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 27234
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
550 OSBORNE RD NE, Fridley, MN 55432
Open in Google Maps ↗

Other Identifiers 1

Medicaid609218700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore A Longinow M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709773534
PECOS Enrollment IDI20040304000388, I20070327000378
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
350 services132 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services43 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services23 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$65.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA JEANNE HOUFEK
Occupational Therapist
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-3000
ALLINA HEALTH SYSTEM
Pharmacy (Specialty Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4111
LESLIE ANNE BETTERMAN PA-C
Physician Assistant (Medical)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-3518
ALLINA HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4111
KIMBERLY ANN FRANKLIN DNP
Nurse Practitioner
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-5000
UNITY HOSPITAL
General Acute Care Hospital
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-4515
DR. FARAH N. MOMEN M.D.
Internal Medicine
550 OSBORNE RD NE, RT. 52840
FRIDLEY, MN 55432
Anoka County (763) 236-5000
SARAH JEAN SIGRIST PT
Physical Therapist
550 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Longinow's NPI number?

The NPI number for Theodore Longinow is 1003928177. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Theodore Longinow located?

Theodore Longinow practices at 550 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 236-5000.

What is Theodore Longinow's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Longinow enrolled in Medicare?

Yes. Theodore Longinow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Longinow accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Theodore Longinow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theodore Longinow affiliated with any hospitals?

According to CMS data, Theodore Longinow is affiliated with Allina United Hospital, Abbott Northwestern Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Longinow was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.