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

Individual provider Emergency Medicine Physician · NPI 1609974716

Dziwe Willard Ntaba, MD is an Emergency Medicine in Minneapolis, Minnesota. Graduated from Oregon Health Sciences University School of Medicine in 2001, 25 years ago. Practices with Fairview Health Services, a 678-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
NY
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

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 622 W 168th St, New York, NY 10032-3720 — (212) 305-2995

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 261141 (NY)

Record details

NPI number1609974716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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