Individual provider Active NPI

Mark E Myers, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
National Provider Identifier
1073592960
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
33807 Issued in MN
Practice address
5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-1222
Phone
(952) 525-6328
Fax
(952) 513-6880
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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 33807 MN Primary

Addresses

Primary practice location

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-1222

Mailing address

PO Box 1414
NCB-6
Minneapolis, MN 55480-1414
Phone (952) 525-6328

Other identifiers 1

IdentifierTypeStateIssuer
856303900MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041118000503 WI Practitioner - Diagnostic Radiology 0143134833 Reassigns benefits to 1 organization
I20060417000642 MN Practitioner - Diagnostic Radiology 0143134833 Reassigns benefits to 1 organization
I20250724000754 AZ Practitioner - Diagnostic Radiology 0143134833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, shared by 5 NPIs, 82 clinicians

Practice addresses (Care Compare)

10438 185TH St W
Suite 100
Lakeville, MN 55044-5307
Phone (952) 345-3878

155 Dehler Dr
Sartell, MN 56377-4407
Phone (320) 251-0609

15700 37TH Ave N
Suite 100
Plymouth, MN 55446-3663
Phone (952) 541-1840

1790 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 294-4639

1956 Breezy Bay Rd
Balsam Lake, WI 54810-2942
Phone (612) 251-3725

2270 Ford Pkwy
Suite 202
Saint Paul, MN 55116-3412
Phone (651) 455-5500

2305 108TH LN NE
Blaine, MN 55449-5222
Phone (763) 278-4429

2700 Vikings Cir
Suite 110
Eagan, MN 55121-1002
Phone (651) 306-4567

3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840

6735 W Red Hawk PL
Marana, AZ 85658-5035
Phone (952) 738-4441

675 E Nicollet Blvd
Suite 150
Burnsville, MN 55337-6742
Phone (952) 898-6627

7123 France Ave S
Edina, MN 55435-4304
Phone (952) 345-3838

775 Prairie Ctr Dr
Suite 260
Eden Prairie, MN 55344-7334
Phone (952) 294-8222

9040 Quaday Ave NE
Suite 100
Otsego, MN 55330-6657
Phone (763) 433-2033

9630 Grove Cir N
Suite 100
Maple Grove, MN 55369-3477
Phone (763) 416-9916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Medical Scanning Consultants, P.a. Diagnostic Radiology CurrentSince Jun 27, 2022 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Oct 1, 2007 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Oct 1, 2007 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Midwest Radiology, PA Diagnostic Radiology Past Accepting new patients

Locations

9630 Grove Cir N
Ste 100
Maple Grove, MN 55369
Phone (763) 416-9916

5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338

5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338

4455 S 108th St
Ste 140
Greenfield, WI 53228
Phone (414) 774-7226

W129N7055 Northfield Dr
Ste 101
Menomonee Falls, WI 53051
Phone (262) 253-5055

10596 N Port Washington Rd
Mequon, WI 53092
Phone (262) 240-7226

10050 S 27th St
Oak Creek, WI 53154
Phone (262) 240-7226

2315 E Moreland Blvd
Ste 1500
Waukesha, WI 53186
Phone (262) 646-5199

2445 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 774-7226

Organizations & group practices 8

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1073592960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1414",
            "address_2": "NCB-6",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554801414",
            "telephone_number": "952-525-6328",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD",
            "address_2": "SUITE 190",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161222",
            "telephone_number": "952-525-6328",
            "fax_number": "952-513-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "33807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856303900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.