ADA BREITENBUCHER
NPI 1013544949
Psychiatry & Neurology - Neurology in Minneapolis, MN

Q: What is Ada Breitenbucher's NPI number?

The NPI number for Ada Breitenbucher is 1013544949. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Ada Breitenbucher's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Ada Breitenbucher was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-3000 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ada Breitenbucher NPPES

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

ADA BREITENBUCHER (NPI 1013544949) is an individual neurology provider in Minneapolis, Minnesota, licensed in Minnesota (76659) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of University Of Minnesota Medical School (2020).

NPPES Registry Identity

NPI1013544949

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameADA BREITENBUCHER

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450

Phone(612) 273-3000

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2020

Enumeration DateMarch 23, 2020

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1013544949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MN · 76659

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

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 and accepts Medicare assignment

Ada Breitenbucher 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 ID6800331844

PECOS Enrollment IDI20250512000056

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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240078

Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County

Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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.

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