DR. THEODORE MARK DANGER
NPI 1104440783
Nurse Anesthetist, Certified Registered in Plymouth, MN

Q: What is Theodore Danger's NPI number?

The NPI number for Theodore Danger is 1104440783. It was assigned to this individual provider in the NPPES registry on May 30, 2020.

Q: What is Theodore Danger's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Danger was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 30, 2020PECOS EnrolledAccepts Medicare Assignment

14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 559-3779(763) 450-3986 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 29, 2020, May 30, 2020 (2 updates tracked since 2020).

On this page

About Dr. Theodore Mark Danger NPPES

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

DR. THEODORE MARK DANGER (NPI 1104440783) is an individual nurse anesthetist, certified registered in Plymouth, Minnesota, licensed in Minnesota (2488) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104440783

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDR. THEODORE MARK DANGER

Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876

Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (763) 559-3779 · Fax (763) 450-3986

Phone(763) 559-3779

Fax(763) 450-3986

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 30, 2020

Last NPPES UpdateJune 29, 20202 updates tracked since enumeration

NPPES CertifiedJune 29, 2020

✔ NPI 1104440783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · 2488

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 2482206 (MN)

14700 28TH AVE N STE 20, Plymouth, MN 55447

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Mark Danger 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 ID941628168

PECOS Enrollment IDI20200918002336

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.

Medicare Billing Reassignments

Medicare enrollment records show Theodore Danger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Anesthesia Network, LLP

Same address

Anesthesiology

14700 28TH AVE N, SUITE 20
Plymouth, MN 55447

Reassigned Medicare billing, Minnesota enrollment
1,033 clinicians in this Medicare group

NPI 1558314427 (763) 559-3779

Southdale Anesthesiologists, LLC

11 mi

Anesthesiology

6401 FRANCE AVE S
Edina, MN 55435

Reassigned Medicare billing, Minnesota enrollment
118 clinicians in this Medicare group

NPI 1154381804 (952) 924-5187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55447 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

PETER WILLIAM COLEMAN

Anesthesiology