Individual provider Active NPI

Anthony Spano, M.D.

  • Vascular & Interventional Radiology Physician
  • Plymouth, MN
National Provider Identifier
1134651920
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
64805 Issued in MN
Practice address
2800 Campus Dr
Plymouth, MN 55441-2645
Phone
(651) 380-2872
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME153716 FL
Student in an Organized Health Care Education/Training Program 390200000X MN
Vascular & Interventional Radiology Physician 2085R0204X 64805 MN Primary

Addresses

Primary practice location

2800 Campus Dr
Plymouth, MN 55441-2645

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-1444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aspano766698@excellian.direct.allina.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, WI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220711001804 FL Practitioner - Diagnostic Radiology 6305198433 Reassigns benefits to 2 organizations
I20230822002829 MN Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6305198433 Reassigns benefits to 5 organizations
I20231214002618 WI Practitioner - Interventional Radiology 6305198433 Reassigns benefits to 1 organization
I20260223000880 MN Practitioner - Diagnostic Radiology 6305198433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Minnesota Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Imaging Partners LLCGroup PAC ID 1557734225, 29 clinicians
West Imaging LLCGroup PAC ID 7315833720, 29 clinicians
Minnesota Diagnostic Imaging Partners LLCGroup PAC ID 5890681209, 32 clinicians
Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

2651 Hillcrest Dr
Suite 103
Hudson, WI 54016-9919
Phone (763) 559-2171

2800 Campus Dr
Suite 20
Plymouth, MN 55441-2669
Phone (763) 398-8700

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-2770

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4060

Hospital & facility affiliations

  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME153716FLMDVascular & Interventional Radiology Physician
64805MNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Apr 6, 2026 Accepting new patients
North Memorial Health Care Current Accepting new patients
Mori Bean and Brooks Inc Vascular & Interventional Radiology CurrentSince Jun 28, 2022 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jul 1, 2022 Accepting new patients
Allina Health System CurrentSince Apr 6, 2026 Accepting new patients
Hudson Imaging Partners LLC CurrentSince Dec 6, 2023 Accepting new patients
Minnesota Diagnostic Imaging Partners, LLC CurrentSince Oct 1, 2023 Accepting new patients
North Memorial Health Care CurrentSince Jul 9, 2023 Accepting new patients
North Memorial Health Care CurrentSince Jul 9, 2023 Accepting new patients
Minneapolis Radiology Associates, LTD. Vascular & Interventional Radiology CurrentSince Oct 1, 2023 Accepting new patients
West Imaging, LLC CurrentSince Oct 1, 2023 Accepting new patients
Baptist Outpatient Services Inc Vascular & Interventional Radiology CurrentSince Jul 1, 2022 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8375 Dix Ellis Trl
Jacksonville, FL 32256

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341

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

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

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2800 Campus Dr
Ste 30
Plymouth, MN 55441
Phone (763) 398-4000

2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

2800 Campus Dr
Plymouth, MN 55441
Phone (612) 870-7711

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

2651 Hillcrest Dr
Ste 103
Hudson, WI 54016
Phone (763) 559-2171

Organizations & group practices 13

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 13

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1134651920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412645",
            "telephone_number": "651-380-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073723",
            "country_code": "US",
            "telephone_number": "612-863-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPANO",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME153716",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "64805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aspano766698@excellian.direct.allina.com",
            "affiliation": "N",
            "address_1": "800 E 28th St",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554073723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.