NPIMap

Individual provider Active NPI

Meysam A Kebriaei, MD

  • Neurological Surgery Physician
  • Saint Paul, MN
National Provider Identifier
1255452926
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
5530 Issued in NE
Practice address
347 Smith Ave N Ste 301
Saint Paul, MN 55102-3355
Phone
(651) 220-5230
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 5530 NE Primary

Addresses

Primary practice location

347 Smith Ave N Ste 301
Saint Paul, MN 55102-3355

Mailing address

201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkebriaei211164@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131113001192 MN Practitioner - Neurosurgery 8123254554 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

280 Smith Ave N
Suite 600
Saint Paul, MN 55102-2446
Phone (651) 241-7246

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-4897

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

800 E 28TH St
Minneapolis, MN 55407-3723

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion30
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5530NEMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care Current Accepting new patients
Fairview Clinics CurrentSince Sep 12, 2018 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Dec 16, 2021 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Allina Health System CurrentSince Dec 16, 2021 Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Sep 2, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Group Health, Inc. CurrentSince Apr 12, 2023 Accepting new patients
Childrens Health Care CurrentSince Aug 30, 2013 Accepting new patients
Fairview Health Services CurrentSince Sep 12, 2018 Accepting new patients
Fairview Health Services Current Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2023 Accepting new patients
Group Health, Inc. CurrentSince Apr 12, 2023 Accepting new patients
Childrens Health Care CurrentSince Aug 30, 2013 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 1, 2013 Accepting new patients
Healtheast St. John's Hospital CurrentSince Sep 2, 2020 Accepting new patients
Allina Health System Past Accepting new patients

Locations

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

7373 France Ave S
Ste 408
Minneapolis, MN 55435
Phone (952) 831-8228

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

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

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

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

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

347 Smith Ave N
Ste 301
Saint Paul, MN 55102
Phone (651) 220-5230

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

255 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: mkebriaei192017@direct.northmemorial.com
  • Direct secure messaging: mkebriaei211164@excellian.direct.allina.com

Organizations & group practices 22

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 22

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1255452926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E NICOLLET BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375714",
            "telephone_number": "952-892-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 SMITH AVE N STE 301",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023355",
            "telephone_number": "651-220-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBRIAEI",
        "first_name": "MEYSAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NE",
            "license": "5530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkebriaei211164@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "255 Smith Ave N Ste 100",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.