Individual provider Active NPI

Michael Heaney, M.D.

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1245287549
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41914 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
May 30, 2006
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 41914 MN Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Mailing address

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone (651) 292-2000

Other practice location 1

4801 W 81st St
Suite 108
Bloomington, MN 55437-1111
Phone (952) 837-9700

Other practice location 2

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155

Other practice location 3

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

Other identifiers 1

IdentifierTypeStateIssuer
718061600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, ND3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050616000269 MN Practitioner - Diagnostic Radiology 7416991880 Reassigns benefits to 25 organizations
I20200403001203 WI Practitioner - Diagnostic Radiology 7416991880 Reassigns benefits to 4 organizations
I20201211001695 ND Practitioner - Diagnostic Radiology 7416991880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Madison Healthcare ServicesGroup PAC ID 9638080187, 29 clinicians

Practice addresses (Care Compare)

11850 Blackfoot St NW
Suite 180
Coon Rapids, MN 55433-2775
Phone (763) 795-1600

12000 Elm Creek Blvd N
Suite 310
Maple Grove, MN 55369-7090
Phone (763) 416-7888

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000

2450 Riverside Ave
Minneapolis, MN 55454-1450

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-8640

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

820 3Rd Ave
Madison, MN 56256-1014
Phone 32059875517551

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 9, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 9, 2020 Accepting new patients
Altru Health System CurrentSince Nov 1, 2020 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Altru Health System CurrentSince Nov 1, 2020 Accepting new patients
Towner County Medical Center Inc CurrentSince Oct 2, 2020 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 18, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Mar 20, 2025 Accepting new patients
William Noyes, MD PC CurrentSince Jan 2, 2026 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Sep 7, 2019 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Oct 2, 2020 Accepting new patients
Suburban Imaging, LLC CurrentSince Apr 1, 2002 Accepting new patients
Allina Health System Current Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Sep 7, 2019 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Allina Health System CurrentSince Mar 7, 2020 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Dec 7, 2022 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
P R Health Corporation Current Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Fairview Health Services CurrentSince Jul 15, 2019 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Jul 15, 2019 Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Dec 7, 2022 Accepting new patients
The Duluth Clinic LTD CurrentSince Mar 20, 2025 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Madison Healthcare Services CurrentSince Feb 27, 2024 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 15, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
NPI 1083910871 Past Accepting new patients
Ridgeview Medical Center Past Accepting new patients
Range Regional Health Services Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients

Locations (25 of 50)

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4801 W 81st St
Ste 108
Minneapolis, MN 55437
Phone (952) 837-9700

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

Organizations & group practices 55

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 55

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1245287549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000",
            "fax_number": "952-837-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 W 81st St",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554371111",
            "country_code": "US",
            "telephone_number": "952-837-9700",
            "fax_number": "952-837-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9055 Springbrook Dr NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554335841",
            "country_code": "US",
            "telephone_number": "763-780-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022370",
            "country_code": "US",
            "telephone_number": "651-292-2000",
            "fax_number": "651-292-2136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "41914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718061600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.