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

Dr. Jutta Ellermann, MD

Individual provider Diagnostic Radiology Physician · NPI 1104854702

Dr. Jutta Ellermann, MD is a Diagnostic Radiology in Minneapolis, Minnesota. Qualified in 1981, 45 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
45
Licensed in
MN
In the registry since
2006
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

516 Delaware Street SE Pwb 1st Fl Clinic 1D University OF Minnesota Physicians
Minneapolis, MN 55455
Phone: (612) 273-6004
Fax: (612) 273-8459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 42872 (MN)

Record details

NPI number1104854702
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJuly 9, 2007
Mailing address420 Delaware Street Se, Mmc 292 University Of Minnesota Physicians, Minneapolis, MN 55455

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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