Individual provider Active NPI

Andrew Bunney, M.D.

  • Vascular & Interventional Radiology Physician
  • Roseville, MN
National Provider Identifier
1114246113
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
57701 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
May 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 57701 MN
Vascular & Interventional Radiology Physician 2085R0204X 57701 MN Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Mailing address

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone (651) 292-2000

Other identifiers 1

IdentifierTypeStateIssuer
1114246113MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, ND3 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
I20140508000511 MN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5597998096 Reassigns benefits to 25 organizations
I20160728001028 WI Practitioner - Diagnostic Radiology 5597998096 Reassigns benefits to 4 organizations
I20220826001525 ND Practitioner - Diagnostic Radiology 5597998096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health System 3,844 clinicians
Midwest Radiology PA 217 clinicians
Marshfield Clinic Inc 207 clinicians
Ridgeview Medical Center 407 clinicians
Midwest Radiology Outpatient Imaging LLC 133 clinicians
Altru Health System 675 clinicians
Suburban Imaging LLC 142 clinicians

Practice addresses (Care Compare)

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3621

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (800) 782-8581

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

265 Griffin St E
Amery, WI 54001-1439
Phone (651) 292-2013

400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100

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

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

Hospital & facility affiliations

  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Jul 28, 2019 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Allina Health System CurrentSince Aug 8, 2016 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 18, 2023 Accepting new patients
The Duluth Clinic LTD CurrentSince Aug 18, 2023 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jan 3, 2017 Accepting new patients
Suburban Imaging, LLC CurrentSince Mar 1, 2019 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince May 13, 2022 Accepting new patients
P R Health Corporation Current Accepting new patients
Altru Health System CurrentSince Aug 8, 2016 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jul 28, 2019 Accepting new patients
Altru Health System Current Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 1, 2018 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Aug 18, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2016 Accepting new patients
Madison Healthcare Services CurrentSince May 13, 2024 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 15, 2019 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2016 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
Park Nicollet Clinic CurrentSince Dec 31, 2023 Accepting new patients
Altru Health System CurrentSince Aug 8, 2016 Accepting new patients
Minneapolis Clinic of Neurology, LTD CurrentSince May 1, 2014 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 15, 2024 Accepting new patients
Allina Health System Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince May 13, 2022 Accepting new patients
Park Nicollet Clinic CurrentSince Dec 31, 2023 Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Fairview Express Care CurrentSince Jul 28, 2019 Accepting new patients
Towner County Medical Center Inc CurrentSince Nov 29, 2016 Accepting new patients
Altru Health System CurrentSince Aug 8, 2016 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Mar 1, 2019 Accepting new patients
Range Regional Health Services Past Accepting new patients

Locations (25 of 52)

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

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

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

4225 Golden Valley Rd
Minneapolis, MN 55422
Phone (612) 588-0661

Organizations & group practices 78

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.

View all 78

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1114246113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNEY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "57701",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "57701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114246113",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.