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JOANNA EKSTROM M.D.
NPI 1013394451
Pediatrics - Pediatric Emergency Medicine in Minneapolis, MN

Active since May 06, 2015PECOS Enrolled
2450 RIVERSIDE AVE, PEDIATRICS EDUCATION OFFICE, 1ST FLOOR EAST BUILDING, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joanna Ekstrom M.d. NPPES

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

JOANNA EKSTROM M.D. (NPI 1013394451) is an individual pediatric emergency medicine provider in Minneapolis, Minnesota, licensed in Minnesota (63638) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013394451
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJOANNA EKSTROMCredential: M.D.
Location Address2450 RIVERSIDE AVE, PEDIATRICS EDUCATION OFFICE, 1ST FLOOR EAST BUILDINGMinneapolis, MN 55454
Mailing Address2450 Riverside Ave, Pediatrics Education Office, 1st Floor East BuildingMinneapolis, MN 55454 · (612) 624-4477
Phone(612) 624-4477
Sole ProprietorYes
Enumeration DateMay 6, 2015
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1013394451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MN · 63638
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanna Ekstrom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Joanna Ekstrom's NPI number?

The NPI number for Joanna Ekstrom is 1013394451. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Joanna Ekstrom located?

Joanna Ekstrom practices at 2450 Riverside Ave Pediatrics Education Office, 1st Floor East Building, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Joanna Ekstrom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Joanna Ekstrom enrolled in Medicare?

Yes. Joanna Ekstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joanna Ekstrom was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.