Active NPI
Gregory Horsley, MD
- Diagnostic Radiology Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 57237
- Practice address
- 6500 Excelsior Blvd
St Louis Park, MN 55426-4702 - Phone
- (952) 993-1000
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 107240 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 82012 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 57237 | MN | Primary |
Addresses
Primary practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
400 E 3rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Phone (218) 786-8364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82012 | Other | AZ | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14000 Fairview Dr
Burnsville, MN 55337-5713
Phone (952) 993-8700
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 993-7750
15111 Twelve Oaks Ctr Dr
Minnetonka, MN 55305-5201
Phone (952) 993-4500
1515 Saint Francis Ave
Shakopee, MN 55379-3387
Phone (952) 993-7750
15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440
1885 Plaza Dr
Eagan, MN 55122-2979
Phone (952) 993-4001
2001 Blaisdell Ave
Minneapolis, MN 55404-2414
Phone (952) 993-8000
250 Central Ave N
Wayzata, MN 55391-1206
Phone (952) 993-3123
300 Lake Dr E
Chanhassen, MN 55317-9302
Phone (952) 993-4300
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3123
4155 County Rd 101
Plymouth, MN 55446-2307
Phone (952) 993-8900
4670 Park Nicollet Ave SE
Prior Lake, MN 55372-4119
Phone (952) 993-7750
4951 Excelsior Blvd
St Louis Park, MN 55416-3033
Phone (952) 993-1300
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
6000 Earle Brown Dr
Brooklyn Center, MN 55430-2506
Phone (952) 993-4900
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
8455 Flying Cloud Dr
Eden Prairie, MN 55344-3974
Phone (952) 993-7400
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
- Hutchinson Health
- Olivia Hospital & Clinic
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82012 | AZ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Monument-9a Imaging & Diagnostic Center L L C | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
Organizations & group practices 7
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.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
Diagnostic Radiology
-
- Critical Access Hospital
- Sandstone, MN
- NPI 1326041633
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- Radiology Clinic/Center
- Jacksonville, FL
- NPI 1558375469
-
- Multi-Specialty Clinic/Center
- Ashland, WI
- NPI 1215974357
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Olivia, MN
- NPI 1629091871
-
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1245439744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-1000"
}
],
"practiceLocations": [
{
"address_1": "400 E 3rd St",
"address_2": "Essentia Health Duluth Clinic",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051951",
"country_code": "US",
"telephone_number": "218-786-8364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORSLEY",
"first_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "107240",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "82012",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "57237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "82012",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.