Organization Active NPI

Fairview Specialty Services

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1174494827
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAIRVIEW SPECIALTY SERVICES
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(855) 324-7843
NPI assigned
Sep 16, 2025
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Maureen Veronica-Reger Ring
Title
Sys Dir Govt Reimb & Netwk Rel
Phone
(612) 672-6740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727

Other practice location 1

1875 Woodwinds Dr Ste Wl30
Woodbury, MN 55125-2534
Phone (651) 232-0228

Other practice location 2

1875 Woodwinds Dr Ste W150
Woodbury, MN 55125-2298
Phone (651) 232-0228

Other practice location 3

1925 Woodwinds Dr
Woodbury, MN 55125-4445
Phone (651) 232-0228

Other practice location 4

1875 Woodwinds Dr Ste 130
Woodbury, MN 55125-4476
Phone (651) 232-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, MI, ME, CO, GA, FL, KY, MO, OH10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20260529000323 MN Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 556 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20260615003640 IL Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morton Grove, IL; Lisle, IL
O20260615004004 MI Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ann Arbor, MI; Champion, MI; Troy, MI
O20260617003867 ME Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: South Portland, ME
O20260618003384 CO Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO; Evergreen, CO; Parker, CO
O20260619002210 GA Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roswell, GA
O20260623002558 FL Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sarasota, FL; Nokomis, FL; Longboat Key, FL; Key Biscayne, FL; Estero, FL
O20260623003714 KY Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisville, KY
O20260626001472 MO Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Louis, MO
O20260626003633 OH Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Aurora, OH

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2114225Fairview Specialty Services1875 Woodwinds Drive, Woodbury, MN 55125Provider-performed microscopyJun 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Fairview Specialty Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1174494827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "855-324-7843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Woodwinds Dr Ste Wl30",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252534",
            "country_code": "US",
            "telephone_number": "651-232-0228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 Woodwinds Dr Ste W150",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252298",
            "country_code": "US",
            "telephone_number": "651-232-0228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Woodwinds Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551254445",
            "country_code": "US",
            "telephone_number": "651-232-0228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 Woodwinds Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551254476",
            "country_code": "US",
            "telephone_number": "651-232-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAIRVIEW SPECIALTY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "VERONICA-REGER",
        "authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.