MR. ADAM GERRIT VAN DIJK MD
NPI 1396091583
Family Medicine in Minneapolis, MN
About Mr. Adam Gerrit Van Dijk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ADAM GERRIT VAN DIJK MD (NPI 1396091583) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (61226) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Colorado School Of Medicine, Denver (2012).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Adam Gerrit Van Dijk Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Adam Van Dijk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 540 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Adam Van Dijk's NPI number?
The NPI number for Adam Van Dijk is 1396091583. It was assigned to this individual provider in the NPPES registry on July 25, 2012.
Where is Adam Van Dijk located?
Adam Van Dijk practices at 4209 Webber Pkwy, Minneapolis, MN 55412. The listed phone number is (763) 581-5750.
What is Adam Van Dijk's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adam Van Dijk enrolled in Medicare?
Yes. Adam Van Dijk 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.
Which organization bills Medicare for Adam Van Dijk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Van Dijk reassigns Medicare benefits to North Memorial Health Care (Robbinsdale, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Van Dijk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Adam Van Dijk affiliated with any hospitals?
According to CMS data, Adam Van Dijk is affiliated with North Memorial Health Hospital.
When was this NPI record last updated?
The NPPES record for Adam Van Dijk was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Adam Gerrit Van Dijk, MD · NPI 1396091583
Family Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since July 25, 2012.
## Identity
- **NPI:** 1396091583 (Entity type: Individual)
- **Enumerated:** July 25, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 61226 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4209 WEBBER PKWY, Minneapolis, MN 55412-1747
- **Phone:** (763) 581-5750 · **Fax:** (763) 581-5751
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Memorial Health Care (NPI 1629352489, Robbinsdale, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2012
## Record status
- **NPPES last updated:** January 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396091583) · Data from the CMS NPPES public registry.