ANDREW R HART (MD) – Internal Medicine Physician, NPI 1477522142

ANDREW R HART (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 72806 (MN). The NPI Number for ANDREW R HART (MD) is 1477522142

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW R HART (MD)
NPI
1477522142
Phone
(765) 491-3455
Address
12633 SURREY ST
Enumeration Date
16 March 2006
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7635818900
Graduation Year
1990 (36 years ago)
PAC ID
9830197656
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20230216001726
Address ID
MN553453522MI154507XXX306

Contacts

Secure Messaging
ahart4@direct.iuhealth.org
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

3,636 INTERNAL MEDICINE in MN

Provider Addresses for ANDREW R HART (MD)

  • 12633 SURREY ST

    EDEN PRAIRIE, MN 553472866

    Phone: (765) 491-3455

    Type: Mailing

  • 15450 HIGHWAY 7 STE 100

    MINNETONKA, MN 553453522

    Phone: (763) 581-8900

    Type: Location

  • 1200 W WHITE RIVER BLVD

    MUNCIE, IN 473034988

    Phone: (877) 668-5621

    Type: Mailing

  • Prophetstown Aquatic Center, 5545, Swisher Road, West Lafayette, Tippecanoe County, Indiana, 47906, United States

    LAFAYETTE, IN 479035545

    Phone: (765) 448-8000

    Type: Mailing

  • Greenbush Street, Eastwich, Lafayette, Tippecanoe County, Indiana, 47904, United States

    LAFAYETTE, IN 479042479

    Phone: (765) 448-8000

    Fax: (765) 448-7627

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Halozyme Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Halozyme Inc$14
View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-16

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
I20230216001726IInternal MedicineMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes262232$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit114114$0
99213Established patient office or other outpatient visit, 20-29 minutes9692$0
36415Insertion of needle into vein for collection of blood sample2422$0
G0008Administration of influenza virus vaccine1919$0
View full utilization report →

Insurance plans in this area (ZIP 55347)

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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: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
-KY
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Medical Oncology, HematologyMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

What identifier follows ANDREW R HART (MD) across health systems?
The NPI 1477522142 uniquely identifies ANDREW R HART (MD) in U.S. healthcare data.
Should I treat ANDREW R HART (MD) as an active provider?
Patients and plans typically see ANDREW R HART (MD) as active in the national extract.
What does the directory say ANDREW R HART (MD) does?
Insurance directories may phrase it differently, but here ANDREW R HART (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit ANDREW R HART (MD) in Eden Prairie, Minnesota?
For routing, start with Eden Prairie, Minnesota for ANDREW R HART (MD), then verify phone and hours locally.
Who maintains ANDREW R HART (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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