Active NPI
Robert Wei Gao, MD
- Radiation Oncology Physician
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 67924
- Practice address
- 11850 Blackfoot St NW Ste 150
Coon Rapids, MN 55433-2583 - Phone
- (763) 433-0221
- NPI assigned
- Apr 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 67924 | MN | Primary |
Addresses
Primary practice location
11850 Blackfoot St NW Ste 150
Coon Rapids, MN 55433-2583
Mailing address
7401 Metro Blvd Ste 210
Edina, MN 55439-3086
Phone (952) 920-4915
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
- Radiation Oncology
- Education
- University of Minnesota Medical School, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11850 Blackfoot St NW
Suite 150
Coon Rapids, MN 55433-2583
Phone (763) 433-0221
Hospital & facility affiliations
- Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67924 | MN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneapolis Radiation Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Mid-Minnesota Radiation Oncology, PA | Radiation Oncology | Past | Accepting new patients |
Locations
215 Ivy St
Brainerd, MN 56401
Phone (218) 828-7585
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
11850 Blackfoot St NW
Ste 150
Coon Rapids, MN 55433
Phone (763) 433-0221
7401 Metro Blvd
Ste 210
Minneapolis, MN 55439
Phone (952) 920-4915
550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887
640 Jackson St
Stop 11202E
Saint Paul, MN 55101
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
1475 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2031
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
560 S Maple St
Ste 10
Waconia, MN 55387
Phone (952) 442-6000
501 Hospital Rd
New Richmond, WI 54017
Phone (715) 243-2950
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Edina, MN
- NPI 1215921408
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fridley, MN
- NPI 1598700528
Hospital
-
- Psychiatric Hospital Unit
- Fridley, MN
- NPI 1609056100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1245893122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 METRO BLVD STE 210",
"city": "EDINA",
"state": "MN",
"postal_code": "554393086",
"telephone_number": "952-920-4915",
"fax_number": "952-915-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 BLACKFOOT ST NW STE 150",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332583",
"telephone_number": "763-433-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "ROBERT",
"middle_name": "WEI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MN",
"license": "67924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.