Frederick C Gramith, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Minneapolis, MN
NPI 1245283274 · NPPES record last updated Feb 18, 2015
Key facts
- NPI
- 1245283274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 26059 (MN)
- Practice address
- 1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420 - Phone
- (612) 573-2200
- Fax
- (612) 573-2274
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting Radiologists, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Quest Diagnostics LLC Il | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 26059 | MN | Yes |
Addresses
Primary practice location
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Mailing address
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Phone (612) 573-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105083 | Other | MN | UCARE |
| 01016774 | Other | MN | DAKOTA CARE |
| 1016774 | Other | MN | PREFERRED ONE |
| HP13405 | Other | MN | HEALTHPARTNERS |
| 300028376 | Other | WI | RAILROAD MEDICARE WI |
| 300G7GR | Other | MN | BLUE CROSS |
| 1M525GR | Other | MN | BLUE CROSS |
| 22831 | Other | MN | AMERICA'S PPO |
| 252824 | Other | MN | MIDLANDS CHOICE INC |
| 30707100 | Medicaid | WI | |
| 0531723 | Medicaid | IA | |
| 300077264 | Other | MN | RAILROAD MEDICARE MN |
| 831770400 | Medicaid | MN |
Other providers in Minneapolis, MN
- Meghan Grahs
- Kendra Lynn Gram
- Patrick G Gramaglia Jr.
- Paul W Gramenz
- Rebekah Gramenz
- Megan Michelle Gramlow
- Gary L Grammens
- Kevin Grams
- Kristine Granacher
- Michele D Granada
All providers in Minneapolis, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.