Individual provider Active NPI

Maros Cunderlik, MD

  • Emergency Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1144682147
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
66424 Issued in MN
Practice address
701 Park Ave
Minneapolis, MN 55415-1623
Phone
(612) 873-4906
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 66424 MN
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 66424 MN Primary

Addresses

Primary practice location

701 Park Ave
Minneapolis, MN 55415-1623

Mailing address

465 Lambert Creek LN
Vadnais Heights, MN 55127-7045
Phone (651) 247-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200110000092 MN Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Hospitalist 6305139411 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist, Internal Medicine
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Regions HospitalGroup PAC ID 3173436755, 215 clinicians

Practice addresses (Care Compare)

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66424MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Memorial Hospital Association Inc. Emergency Medicine CurrentSince Sep 16, 2022 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Apr 1, 2025 Accepting new patients
Regions Hospital CurrentSince Jun 24, 2022 Accepting new patients
Group Health, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Dec 15, 2019 Accepting new patients
Regions Hospital Emergency Medicine CurrentSince Jun 24, 2022 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
Group Health, Inc. CurrentSince Jun 6, 2022 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Apr 1, 2025 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Sep 16, 2022 Accepting new patients
Emergency Care Consultants, PA Emergency Medicine CurrentSince Mar 3, 2022 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Dec 15, 2019 Accepting new patients
Regions Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

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

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

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

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

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

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

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000

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

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

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 10

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1144682147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 LAMBERT CREEK LN",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277045",
            "telephone_number": "651-247-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDERLIK",
        "first_name": "MAROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "66424",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "66424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.