MARK J WANDERMAN MD
NPI 1285660837
Pediatrics in Minneapolis, MN

Q: What is Mark Wanderman's NPI number?

The NPI number for Mark Wanderman is 1285660837. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Mark Wanderman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wanderman was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 24, 2006PECOS Enrolled

2535 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 672-2350(651) 642-9441 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark J Wanderman Md NPPES

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

MARK J WANDERMAN MD (NPI 1285660837) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (30314) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285660837

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMARK J WANDERMANCredential: MD

Location Address2535 UNIVERSITY AVE SEMinneapolis, MN 55414-3205

Mailing Address2535 University Ave SeMinneapolis, MN 55414-3205 · (612) 672-2350 · Fax (651) 642-9441

Phone(612) 672-2350

Fax(651) 642-9441

Sole ProprietorNo

Enumeration DateJune 24, 2006

Last NPPES UpdateApril 11, 2012

✔ NPI 1285660837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 30314

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2535 UNIVERSITY AVE SE, Minneapolis, MN 55414

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Other Identifiers 2

Medicare UPIND28715

Medicaid454372600MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark J Wanderman Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55414 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

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 13

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

DR. EMILY CRAY BORMAN-SHOAP M.D.

Pediatrics