Michael T Akin, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · St Louis Park, MN
NPI 1114902004 · NPPES record last updated Feb 29, 2012
Key facts
- NPI
- 1114902004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 47470 (MN)
- Practice address
- 6500 Excelsior Blvd
St Louis Park, MN 55426-4702 - Phone
- (959) 299-3539
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Park Nicollet Clinic
Tria Orthopaedic Center LLC
Practice addresses (Care Compare)
14000 Fairview Dr
Burnsville, MN 55337-5713
Phone (952) 993-8700
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 993-7750
15111 Twelve Oaks Ctr Dr
Minnetonka, MN 55305-5201
Phone (952) 993-4500
1515 Saint Francis Ave
Shakopee, MN 55379-3387
Phone (952) 993-7750
15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440
1885 Plaza Dr
Eagan, MN 55122-2979
Phone (952) 993-4001
2001 Blaisdell Ave
Minneapolis, MN 55404-2414
Phone (952) 993-8000
250 Central Ave N
Wayzata, MN 55391-1206
Phone (952) 993-3123
300 Lake Dr E
Chanhassen, MN 55317-9302
Phone (952) 993-4300
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3123
4155 County Rd 101
Plymouth, MN 55446-2307
Phone (952) 993-8900
4670 Park Nicollet Ave SE
Prior Lake, MN 55372-4119
Phone (952) 993-7750
4951 Excelsior Blvd
St Louis Park, MN 55416-3033
Phone (952) 993-1300
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
6000 Earle Brown Dr
Brooklyn Center, MN 55430-2506
Phone (952) 993-4900
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974
Phone (952) 993-7400
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
- Hutchinson Health
- Olivia Hospital & Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102000482 | MN | Practitioner - Diagnostic Radiology | 8123045713 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Current |
Accepting new patients | |
| Park Nicollet Methodist Hospital | Current |
Accepting new patients | |
| Tria Orthopaedic Center LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Park Nicollet Clinic | Current |
Accepting new patients |
Locations
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
3800 Park Nicollet Blvd
St Louis Park, MN 55416
Phone (952) 993-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 47470 | MN | Yes |
Addresses
Primary practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Mailing address
3800 Park Nicollet Blvd
Credentialing
St Louis Park, MN 55416-2527
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807104700 | Medicaid | MN |
Other providers in St Louis Park, MN
- Kwao Gareth Ahelegbe
- Hadith Yusuf Ahmed
- Sagal Abdiaziz Ahmed
- Seefen Ahmed
- Michael B Ainslie
- Emolebi Deborah Akpojotor
- Jacob Ari Carter Albersheim
- Aubrianna Alberts
- Chloe Erin Alberts
- Melissa Albrecht
All providers in St Louis Park, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.