DR. ANTHONY VICTOR EDHOLM MD
NPI 1740741776
Emergency Medicine in Bloomington, MN
About Dr. Anthony Victor Edholm Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTHONY VICTOR EDHOLM MD (NPI 1740741776) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Minnesota (71474) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and maintains a secondary practice location in Hackensack.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Anthony Victor Edholm 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 Reassignments
4Medicare enrollment records show Anthony Edholm reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 328 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Pine City, MN 55063
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1528031390 (Minnesota)
- 146 clinicians in this Medicare group
Ely, MN 55731
- Reassigned Medicare billing, Minnesota enrollment
- 43 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 5
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Cloud Hospital
Acute Care Hospitals · Saint Cloud, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNCentracare- Rice Memorial Hospital
Acute Care Hospitals · Willmar, MNEly Bloomenson Community Hospital
Critical Access Hospitals · Ely, MNCentracare Health - Monticello
Critical Access Hospitals · Monticello, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BLOOMINGTON, MN 55435
BLOOMINGTON, MN 55435
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 Anthony Edholm's NPI number?
The NPI number for Anthony Edholm is 1740741776. It was assigned to this individual provider in the NPPES registry on March 31, 2019.
Where is Anthony Edholm located?
Anthony Edholm practices at 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435. The listed phone number is (952) 835-9880.
What is Anthony Edholm's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Anthony Edholm enrolled in Medicare?
Yes. Anthony Edholm 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 organizations bill Medicare for Anthony Edholm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Edholm reassigns Medicare benefits to 4 organizations: Emergency Physicians Professional Association (Bloomington, MN), Fairview Health Services (Edina, MN), Welia Health (Pine City, MN) and Ely-Bloomenson Community Hospital (Ely, MN). Each 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 Anthony Edholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Anthony Edholm affiliated with any hospitals?
According to CMS data, Anthony Edholm is affiliated with St Cloud Hospital, M Health Fairview University Of Mn, Centracare- Rice Memorial Hospital, Ely Bloomenson Community Hospital and Centracare Health - Monticello.
When was this NPI record last updated?
The NPPES record for Anthony Edholm was last updated on May 10, 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.
# Dr. Anthony Victor Edholm, MD · NPI 1740741776
Emergency Medicine physician in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since March 31, 2019.
## Identity
- **NPI:** 1740741776 (Entity type: Individual)
- **Enumerated:** March 31, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 71474 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4300 MARKETPOINTE DR STE 100, Bloomington, MN 55435-5435
- **Phone:** (952) 835-9880 · **Fax:** (952) 857-1554
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Professional Association (NPI 1801871934, Bloomington, MN); Fairview Health Services (NPI 1770663031, Edina, MN); Welia Health (NPI 1992012207, Pine City, MN); Ely-Bloomenson Community Hospital (NPI 1770542904, Ely, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740741776) · Data from the CMS NPPES public registry.