Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody D. Tidwell, MD

Individual provider Anesthesiology Physician · NPI 1033672837

Cody D. Tidwell, MD is an Anesthesiology in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with University Anesthesia Providers LLC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Utah.

Years since qualifying
7
Licensed in
MN, UT
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone: (612) 625-4116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 77909 (MN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 13284677-1205 (UT)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 13284677-1205 (UT)

Record details

NPI number1033672837
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Anesthesia Providers Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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