Active NPI
Carrie Ronstrom, MD
- Urology Physician
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 71495
- Practice address
- 1001 E Superior St Ste 201
Duluth, MN 55802-2228 - Phone
- (218) 249-5555
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2017020629 | MO | |
| Urology Physician | 208800000X | 71495 | MN | Primary |
Addresses
Primary practice location
1001 E Superior St Ste 201
Duluth, MN 55802-2228
Mailing address
1001 E Superior St Ste 201
Duluth, MN 55802-2228
Phone (218) 249-5555
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com | ||
| Direct Messaging Address | hisdept@direct.cloquethospital.com | COMMUNITY MEMORIAL HOSPITAL ASSOCIATION |
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
- Urology
- Education
- University of Minnesota Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St. Luke'S Hospital of DuluthAspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
1001 E Superior St
Suite 201
Duluth, MN 55802-2228
Phone (218) 279-6230
109 N 28TH St E
Superior, WI 54880-6548
Phone (715) 395-3900
1615 Maple LN
Ashland, WI 54806-3610
Phone (715) 685-5500
2201 Lake Shore Dr E
Ashland, WI 54806-2331
Phone (715) 685-6600
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10565 Grand View Lane
Ironwood, MI 49938-9622
N10565 Grandview Lane
Ironwood, MI 49938-9622
N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067
Hospital & facility affiliations
- St Lukes Hospital
- Aspirus Lake View Hospital
- Community Memorial Hospital
- North Shore Health
- Aspirus Ironwood Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017020629 | MO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake View Memorial Hospital, Inc | Current | Accepting new patients | |
| Lake View Memorial Hospital, Inc. | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Lake View Memorial Hospital, Inc | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1001 E Superior St
Ste 201
Duluth, MN 55802
Phone (218) 249-3057
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
Interoperability endpoints
- him@slk.direct.slhduluth.com
- cronstrom237556@direct.aspirus.org
- carrie.ronstrom@slk.direct.slhduluth.com
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Two Harbors, MN
- NPI 1023067642
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- General Acute Care Hospital
- Superior, WI
- NPI 1629017793
-
- Urgent Care Clinic/Center
- Two Harbors, MN
- NPI 1588936884
-
- Certified Registered Nurse Anesthetist
- Two Harbors, MN
- NPI 1992512701
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Neurological Surgery Physician
- Duluth, MN
- NPI 1285688986
-
- General Acute Care Hospital
- Duluth, MN
- NPI 1801835970
-
- Family Medicine Physician
- Superior, WI
- NPI 1528010667
-
- Family Medicine Physician
- Duluth, MN
- NPI 1306870654
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
-
- Critical Access Hospital
- Grand Marais, MN
- NPI 1487712493
-
- Critical Access Hospital
- Two Harbors, MN
- NPI 1023067642
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1265952907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E SUPERIOR ST STE 201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022228",
"telephone_number": "218-249-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E SUPERIOR ST STE 201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022228",
"telephone_number": "218-249-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONSTROM",
"first_name": "CARRIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2017020629",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "71495",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "1001 E Superior St Ste 201",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "558022228",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hisdept@direct.cloquethospital.com",
"affiliation": "Y",
"affiliationName": "COMMUNITY MEMORIAL HOSPITAL ASSOCIATION",
"address_1": "512 Skyline Blvd",
"city": "Cloquet",
"state": "MN",
"country_code": "US",
"postal_code": "557203787",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.