Active NPI
Vascular & Interventional Physicians
- Vascular & Interventional Radiology Physician
- Minneapolis, MN
National Provider Identifier
1205632643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- VASCULAR & INTERVENTIONAL PHYSICIANS
- Practice address
- 4254 Queen Ave S
Minneapolis, MN 55410-1614 - Phone
- (612) 743-9691
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael James Cumming, MD
- Title
- Medical Director
- Phone
- (612) 743-9691
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
4254 Queen Ave S
Minneapolis, MN 55410-1614
Mailing address
4254 Queen Ave S
Minneapolis, MN 55410-1614
Phone (612) 743-9691
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Sartell, MN
- NPI 1649258526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1205632643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4254 QUEEN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101614",
"telephone_number": "612-743-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4254 QUEEN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101614",
"telephone_number": "612-743-9691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASCULAR & INTERVENTIONAL PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "CUMMING",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "612-743-9691",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"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 Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.