DR. ANDREW JOHN BURGDORF (MD) – Family Medicine Physician, NPI 1417996182

DR. ANDREW JOHN BURGDORF (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 30073 (MN). The NPI Number for DR. ANDREW JOHN BURGDORF (MD) is 1417996182

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW JOHN BURGDORF (MD)
NPI
1417996182
Phone
(612) 262-9000
Address
2925 CHICAGO AVE
Enumeration Date
6 June 2006
Last Update Date
23 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3206825225
Graduation Year
1985 (41 years ago)
PAC ID
4486799103
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20100305000668
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
aburgdorf11079@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,075 FAMILY PRACTICE in MN

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Provider Addresses for DR. ANDREW JOHN BURGDORF (MD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Fax: (612) 262-4194

    Type: Mailing

  • Buffalo Hospital, 303, Catlin Street, Buffalo, Wright County, Minnesota, 55313, United States

    BUFFALO, MN 553131947

    Phone: (612) 682-5225

    Fax: (612) 682-5142

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100305000668IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample15874$0
99215Established patient office or other outpatient visit, 40-54 minutes11566$0
83036Hemoglobin a1c level7545$0
80061Blood test, lipids (cholesterol and triglycerides)4644$0
80053Blood test, comprehensive group of blood chemicals4640$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. ANDREW JOHN BURGDORF (MD)?
The registry entry for DR. ANDREW JOHN BURGDORF (MD) shows NPI 1417996182.
Should I treat DR. ANDREW JOHN BURGDORF (MD) as an active provider?
Patients and plans typically see DR. ANDREW JOHN BURGDORF (MD) as active in the national extract.
How should patients interpret DR. ANDREW JOHN BURGDORF (MD)'s specialty?
The extract shows Family Medicine Physician for DR. ANDREW JOHN BURGDORF (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANDREW JOHN BURGDORF (MD)?
The directory associates DR. ANDREW JOHN BURGDORF (MD) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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