Active NPI
Shannon Elizabeth Doyle, MD.
- Internal Medicine Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37336
- Practice address
- 1997 Sloan PL Ste 17
Maplewood, MN 55117-2051 - Phone
- (651) 772-6251
- Fax
- (651) 294-9616
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
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.
-
- Nephrology Physician
- Maplewood, MN
- NPI 1104976158
MN, Nephrology
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Internal Medicine
-
- Rural Health Clinic/Center
- Balsam Lake, WI
- NPI 1013423219
-
- Rural Health Clinic/Center
- Saint Croix Falls, WI
- NPI 1669988861
-
- Rural Health Clinic/Center
- Frederic, WI
- NPI 1811256126
-
- Rural Health Clinic/Center
- Webster, WI
- NPI 1851652374
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Paul, MN
- NPI 1083678379
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- W Saint Paul, MN
- NPI 1093779399
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Roseville, MN
- NPI 1255701041
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Amery, WI
- NPI 1750554333
Dialysis facility
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Medical College of Wisconsin, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healtheast Medical Research InstituteHealtheast Woodwinds HospitalAssociated Nephrology Consultants PASt. Croix Regional Medical Center
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
- DaVita Amery Dialysis
- DaVita Larpenteur Ave Dialysis
- DaVita University Dialysis Unit Riverside
- DaVita West St Paul Dialysis Unit
- DaVita Arden Hills Dialysis Unit
- M Health Fairview St John'S Hospital
- St Croix Regional Medical Center
- Allina United Hospital
- M Health Fairview Woodwinds Hospital
- Hennepin County Medical Center
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100302000608 | MN | Practitioner - Nephrology | 7810055803 | Reassigns benefits to 5 organizations |
| I20150923001341 | WI | Practitioner - Nephrology | 7810055803 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39336 | MN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Care System | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Associated Nephrology Consultants, P.a. | Nephrology | Current | Accepting new patients |
| Associated Dialysis Consultants LLC | Nephrology | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| Fairview Bethesda Hospital | Current | Accepting new patients |
Locations
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
360 Sherman St
Ste 250
Saint Paul, MN 55102
Phone (651) 772-6251
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
2854 Highway 55
Ste 130
Saint Paul, MN 55121
Phone (651) 224-4930
1997 Sloan Pl
Ste 17
Saint Paul, MN 55117
Phone (651) 772-6251
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
205 Oak St W
Frederic, WI 54837
Phone (715) 327-5700
744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
26425 Lakeland Ave S
Webster, WI 54893
Phone (715) 866-4271
Interoperability endpoints
- sdoyle44891@direct.davitaphysiciansolutions.com
- https://fhir-myrecord.cerner.com/r4/3y297hHso-SAgtaVMIScpv67gSH7SYy3/
- sdoyle91876@excellian.direct.allina.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 39336 | MN | |
| Internal Medicine Physician | 207R00000X | 37336 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134823000 | Medicaid | MN |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdoyle91876@excellian.diret.allina.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2022.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134823000",
"state": "MN"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.