NPIMap

Individual provider Active NPI

Shannon Elizabeth Doyle, MD.

  • Internal Medicine Physician
  • Maplewood, MN
National Provider Identifier
1326005679
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37336 Issued in MN
Practice address
1997 Sloan PL Ste 17
Maplewood, MN 55117-2051
Phone
(651) 772-6251
Fax
(651) 294-9616
NPI assigned
Apr 28, 2006
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 39336 MN
Internal Medicine Physician 207R00000X 37336 MN Primary

Addresses

Primary practice location

1997 Sloan PL Ste 17
Maplewood, MN 55117-2051

Mailing address

2854 Highway 55 Ste 130
Eagan, MN 55121-1776
Phone (651) 224-4930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdoyle91876@excellian.diret.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100302000608 MN Practitioner - NephrologyPractitioner - Internal Medicine 7810055803 Reassigns benefits to 5 organizations
I20150923001341 WI Practitioner - Nephrology 7810055803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healtheast Woodwinds HospitalGroup PAC ID 9638082563, 9 clinicians
Associated Nephrology Consultants PAGroup PAC ID 7214004068, 15 clinicians
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 326-7200

1925 Woodwinds Dr
Woodbury, MN 55125-4445
Phone (651) 232-0100

1997 Sloan PL
Suite 17
Maplewood, MN 55117-2051
Phone (651) 772-3251

205 Oak St W
Frederic, WI 54837-8953
Phone (715) 327-5700

24625 Lakeland Ave S
Webster, WI 54893
Phone (715) 866-4271

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37336MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Oct 1, 2015 Accepting new patients
St. Croix Regional Medical Center CurrentSince Oct 1, 2015 Accepting new patients
Associated Nephrology Consultants, P.a. Nephrology CurrentSince Mar 1, 2002 Accepting new patients
Fairview Bethesda Hospital CurrentSince May 1, 2021 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince May 1, 2021 Accepting new patients
Healtheast St. John's Hospital CurrentSince May 1, 2021 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Healtheast Care System CurrentSince May 1, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince May 1, 2021 Accepting new patients
Associated Dialysis Consultants LLC Nephrology Current Accepting new patients

Locations

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

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

1997 Sloan Pl
Ste 17
Saint Paul, MN 55117
Phone (651) 772-6251

2854 Highway 55
Ste 130
Saint Paul, MN 55121
Phone (651) 224-4930

360 Sherman St
Ste 250
Saint Paul, MN 55102
Phone (651) 772-6251

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

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

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

205 Oak St W
Frederic, WI 54837
Phone (715) 327-5700

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

26425 Lakeland Ave S
Webster, WI 54893
Phone (715) 866-4271

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3y297hHso-SAgtaVMIScpv67gSH7SYy3/
  • Direct secure messaging: sdoyle44891@direct.davitaphysiciansolutions.com
  • Direct secure messaging: sdoyle91876@excellian.direct.allina.com
  • Direct secure messaging: sdoyle91876@excellian.diret.allina.com

Organizations & group practices 11

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1326005679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 HIGHWAY 55 STE 130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211776",
            "telephone_number": "651-224-4930",
            "fax_number": "651-842-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 SLOAN PL STE 17",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551172051",
            "telephone_number": "651-772-6251",
            "fax_number": "651-294-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "39336",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "37336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdoyle91876@excellian.diret.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "235 E State St",
            "city": "Saint Croix Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540244117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.