NPIMap

Individual provider Active NPI

Gregory D Taylor, MD

  • Diagnostic Radiology Physician
  • Saint Paul, MN
National Provider Identifier
1174508733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43580 Issued in MN
Practice address
166 4TH St E
Saint Paul, MN 55101-1421
Phone
(651) 292-2009
Fax
(651) 292-2178
NPI assigned
Dec 7, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 43580 MN Primary

Addresses

Primary practice location

166 4TH St E
Saint Paul, MN 55101-1421

Mailing address

166 4TH St E
Saint Paul, MN 55101-1421
Phone (651) 292-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101012001433 SD Practitioner - Diagnostic Radiology 1951307164 Reassigns benefits to 3 organizations
I20220309003153 UT Practitioner - Diagnostic Radiology 1951307164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

6779 N 2275
Liberty, UT 84310-5404
Phone (605) 668-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Current Accepting new patients
Sacred Heart Health Services CurrentSince Oct 1, 2010 Accepting new patients
Avera Queen of Peace CurrentSince Mar 1, 2020 Accepting new patients
Avera St. Luke's Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Avera St. Lukes CurrentSince Jul 1, 2025 Accepting new patients
Osmond General Hospital Inc Diagnostic Radiology CurrentSince Dec 1, 2010 Accepting new patients
Avera Queen of Peace CurrentSince Mar 1, 2020 Accepting new patients
Osmond General Hospital Inc CurrentSince Dec 1, 2010 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Maplewood Imaging Center LLC Diagnostic Radiology PastSince Jan 1, 2008 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology Past Accepting new patients
Midwest Radiology, PA Diagnostic Radiology Past Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1000 W 4th St
Ste 8
Yankton, SD 57078
Phone (605) 655-1201

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

501 Summit St
Ste 8
Yankton, SD 57078
Phone (605) 668-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 11

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174508733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 4TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011421",
            "telephone_number": "651-292-2009",
            "fax_number": "651-292-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 4TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011421",
            "telephone_number": "651-292-2009",
            "fax_number": "651-292-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "43580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.