NPIMap

Individual provider Active NPI

Nathan J Groebner, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1043310188
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
48898 Issued in MN
Practice address
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone
(612) 573-2200
Fax
(612) 573-2274
NPI assigned
Sep 25, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 48898 MN Primary

Addresses

Primary practice location

7595 Anagram Dr
Eden Prairie, MN 55344-7399

Mailing address

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070213000329 MN Practitioner - Diagnostic Radiology 5193727675 Reassigns benefits to 9 organizations
I20121116000116 ND Practitioner - Diagnostic Radiology 5193727675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians

Practice addresses (Care Compare)

1230 E Main St
Mankato, MN 56001-5066
Phone (507) 389-8509

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

1650 4TH St SE
Rochester, MN 55904-4717

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48898MNMDDiagnostic Radiology Physician
102644MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Northfield Hospital CurrentSince Jan 1, 2026 Accepting new patients
St. Francis Regional Medical Center CurrentSince May 21, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Jul 1, 2009 Accepting new patients
Olmsted Medical Center CurrentSince Mar 5, 2010 Accepting new patients
Northfield Hospital CurrentSince Jan 1, 2026 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Mercy Medical Center Diagnostic Radiology CurrentSince Oct 1, 2012 Accepting new patients
St Francis Regional Medical Center CurrentSince May 21, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Oct 1, 2012 Accepting new patients
Mercy Medical Center Current Accepting new patients
Madelia Health Current Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Olmsted Medical Center CurrentSince Mar 5, 2010 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations (25 of 26)

3369 Solutions Ctr
Chicago, IL 60677

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

3955 Parklawn Ave
Ste 100
Edina, MN 55435
Phone (952) 285-3722

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 55

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 55

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1043310188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEBNER",
        "first_name": "NATHAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "48898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.