Individual provider Active NPI

Ronald S Pobiel, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
National Provider Identifier
1235106816
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
45374 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 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 45374 MN Primary

Addresses

Primary practice location

5775 Wayzata Boulevard
Suite 190
St Louis Park, MN 55416

Mailing address

PO Box 1450
NW 6035
Minneapolis, MN 55485-6035
Phone (952) 542-8553

Other identifiers 1

IdentifierTypeStateIssuer
083413100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 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
I20050519000728 MN Practitioner - Diagnostic Radiology 0042286650 Reassigns benefits to 2 organizations
I20241218003619 CA Practitioner - Diagnostic Radiology 0042286650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, shared by 5 NPIs, 82 clinicians

Practice addresses (Care Compare)

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

61 Heather LN
Orinda, CA 94563-3518
Phone (952) 738-4441

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Jul 29, 2015 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Mar 1, 2003 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Mar 1, 2003 Accepting new patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Past Accepting new patients
Radiology Associates of Birmingham PC Diagnostic Radiology Past Accepting new patients

Locations

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

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

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

15700 37th Ave N
Ste 100
Plymouth, MN 55446
Phone (763) 509-4720

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

2995 Winners Circle Dr
Ste 105
Shakopee, MN 55379
Phone (952) 738-4440

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

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

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

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1235106816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "address_2": "NW 6035",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554856035",
            "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": "POBIEL",
        "first_name": "RONALD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "45374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083413100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.