Individual provider Active NPI

Thomas J Gilbert Jr., MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
National Provider Identifier
1215904560
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31601 Issued in MN
Practice address
5775 Wayzata Boulevard
Suite 190
St Louis Park, MN 55416
Phone
(952) 541-1840
Fax
(952) 513-6880
NPI assigned
Mar 7, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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 31601 MN Primary

Addresses

Primary practice location

5775 Wayzata Boulevard
Suite 190
St Louis Park, MN 55416

Mailing address

PO Box 1450 # Nw6035
Minneapolis, MN 55485-0001
Phone (952) 542-8553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050519000639 MN Practitioner - Diagnostic Radiology 0840187126 Reassigns benefits to 1 organization
I20250725001193 MT Practitioner - Diagnostic Radiology 0840187126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

10438 185TH St W
Suite 100
Lakeville, MN 55044-5307
Phone (952) 345-3878

15700 37TH Ave N
Suite 100
Plymouth, MN 55446-3663
Phone (952) 541-1840

1790 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 294-4639

2270 Ford Pkwy
Suite 202
Saint Paul, MN 55116-3412
Phone (651) 455-5500

2305 108TH LN NE
Blaine, MN 55449-5222
Phone (763) 278-4429

2700 Vikings Cir
Suite 110
Eagan, MN 55121-1002
Phone (651) 306-4567

3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000

527 E Mendenhall St
Apt 3
Bozeman, MT 59715-3794
Phone (952) 738-4441

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840

675 E Nicollet Blvd
Suite 150
Burnsville, MN 55337-6742
Phone (952) 898-6627

7123 France Ave S
Edina, MN 55435-4304
Phone (952) 345-3838

775 Prairie Ctr Dr
Suite 260
Eden Prairie, MN 55344-7334
Phone (952) 294-8222

9040 Quaday Ave NE
Suite 100
Otsego, MN 55330-6657
Phone (763) 433-2033

9630 Grove Cir N
Suite 100
Maple Grove, MN 55369-3477
Phone (763) 416-9916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Aug 1, 1997 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Aug 1, 1997 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Past Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients

Locations

1295 Orange Ave
Winter Park, FL 32789
Phone (407) 628-5051

964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051

11900 Pennsylvania St
Ste 100
Carmel, IN 46032

5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338

5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338

148 2nd St S
Waite Park, MN 56387

W129N7055 Northfield Dr
Ste 101
Menomonee Falls, WI 53051
Phone (262) 253-5055

2315 E Moreland Blvd
Ste 1500
Waukesha, WI 53186
Phone (262) 646-5199

2445 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 774-7226

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1215904560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450 # NW6035",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554850001",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BOULEVARD",
            "address_2": "SUITE 190",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-541-1840",
            "fax_number": "952-513-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "31601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.