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

Dr. Blake Ryan Tidwell, MD

Individual provider Internal Medicine Physician · NPI 1013598408

Dr. Blake Ryan Tidwell, MD is an Internal Medicine in Minneapolis, Minnesota. Graduated from Saint Louis University School of Medicine in 2021, 5 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Trained at
Saint Louis University School of Medicine
Licensed in
MN
In the registry since
2021
Specialties on file
2
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

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone: (612) 863-4000
Fax: (763) 236-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 626-5454

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 76399 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013598408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2021
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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