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

Samir Ashwin Joshi, MD

Individual provider Family Medicine Physician · NPI 1407386881

Samir Ashwin Joshi, MD is a Family Practice in Bloomington, Minnesota. Qualified in 2017, 9 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Minnesota.

Years since qualifying
9
Licensed in
KY, MN
In the registry since
2017
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

8100 Northland Dr
Bloomington, MN 55431-4800
Phone: (952) 831-8742
Fax: (952) 831-1626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14050 Fairview Dr, Burnsville, MN 55337-4571 — (952) 831-8742
  • 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 — (763) 587-7900

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 68621 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 53620 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 68621 (MN)

Record details

NPI number1407386881
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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