DR. DOUGLAS MARK SODERBERG M.D.
NPI 1215997952
Obstetrics & Gynecology in Minneapolis, MN

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
5415 QUEEN AVE S, MINNEAPOLIS, MN 55410(612) 963-1367(612) 677-3324 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas Mark Soderberg M.d. NPPES

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

DR. DOUGLAS MARK SODERBERG M.D. (NPI 1215997952) is an individual obstetrics & gynecology provider in Minneapolis, Minnesota, licensed in Minnesota (26672) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1980).

NPPES Registry Identity

NPI1215997952
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DOUGLAS MARK SODERBERGCredential: M.D.
Location Address5415 QUEEN AVE SMinneapolis, MN 55410-2530
Mailing Address5415 Queen Ave SMinneapolis, MN 55410-2530 · (612) 963-1367 · Fax (612) 677-3324
Fax(612) 677-3324
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1980
Enumeration DateMarch 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215997952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MN · 26672
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5415 QUEEN AVE S, Minneapolis, MN 55410

Other Names 1

Professional Name (2)Dr. Douglas Mark Soderberg M.d.

Other Identifiers 1

Medicare UPINA95532MN

Accepted 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. Douglas Mark Soderberg 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 ID1557358066
PECOS Enrollment IDI20040427001347
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55410 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.

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 Douglas Soderberg's NPI number?

The NPI number for Douglas Soderberg is 1215997952. It was assigned to this individual provider in the NPPES registry on March 25, 2006. The provider is also known as Dr. Douglas Mark Soderberg M.D..

Where is Douglas Soderberg located?

Douglas Soderberg practices at 5415 Queen Ave S, Minneapolis, MN 55410. The listed phone number is (612) 963-1367.

What is Douglas Soderberg's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Douglas Soderberg enrolled in Medicare?

Yes. Douglas Soderberg 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 Douglas Soderberg accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Douglas Soderberg 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.

When was this NPI record last updated?

The NPPES record for Douglas Soderberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.