Active NPI
Michael Kevin Novick, MD
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A112341
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- May 17, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD.204917 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 240684 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | MD455825 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | A112341 | CA | Primary |
Addresses
Primary practice location
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Mailing address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301
Other practice location 1
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY, IL, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Icahn School of Medicine at Mount Sinai, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100
2 Alpine Ter
Pleasantville, NY 10570-1902
Phone (706) 773-1802
23011 Tiagua
Mission Viejo, CA 92692-1434
Phone (615) 312-0600
Hospital & facility affiliations
- Pottstown Hospital
- King'S Daughters' Medical Center
- St Lukes Regional Medical Center
- Jefferson Lansdale Hospital
- Jefferson Health- Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112341 | CA | MD | Marriage & Family Therapist |
| A112341 | CA | MD | Diagnostic Radiology Physician |
| MD.204917 | LA | MD | Diagnostic Radiology Physician |
| 240684 | NY | MD | Diagnostic Radiology Physician |
Practice roles (60 of 62)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olean General Hospital | Current | Accepting new patients | |
| Glendora Radiological Assoc Inc | Diagnostic Radiology | Current | Accepting new patients |
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Kaleida Health | Diagnostic Radiology | Current | Accepting new patients |
| Kaleida Health | Current | Accepting new patients | |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Red River Consultants, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| West River Health Services | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Olean General Hospital | Current | Accepting new patients | |
| Pontchartrain Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Beloit Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Claremont Imaging Associates, a Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Essent Healthcare - Waynesburg LLC | Past | Accepting new patients | |
| Millennium Medical Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Geneva General Hospital Inc. | Past | Accepting new patients | |
| Tulane University Medical Group | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Erie County Medical Center Corporation | Past | Accepting new patients | |
| Unity Healthcare | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Aria Health | Past | Accepting new patients | |
| Aria Health | Past | Accepting new patients | |
| Virginia Commonwealth University Health System Authority | Past | Accepting new patients | |
| Ashland Hospital Corporation | Past | Accepting new patients | |
| Washington Township Hospital District | Past | Accepting new patients | |
| Rome Memorial Hospital, Inc. | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Universal Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
| The Carle Foundation Hospital | Past | Accepting new patients | |
| Northern Radiology Imaging Center, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Midwestern Regional Medical Center, Inc. | Past | Accepting new patients | |
| Abington Memorial Hospital | Past | Accepting new patients | |
| Little Falls Hospital | Past | Accepting new patients | |
| Temple University Hospital, Inc | Past | Accepting new patients | |
| Marin General Hospital | Past | Accepting new patients | |
| Palo Pinto County Hospital District | Past | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Parkridge Medical Center, Inc. | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Hudson Valley Hospital Center | Past | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients | |
| St. Joseph'S Medical Center | Past | Accepting new patients | |
| Memorial Health Care System Inc. | Past | Accepting new patients | |
| Shasta Regional Medical Center, LLC | Past | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Past | Accepting new patients | |
| Winona Health Services | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Wishon Radiological Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Pipestone County Medical Center | Past | Accepting new patients |
Locations
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
130 North St
Walton, NY 13856
Phone (607) 865-6541
Interoperability endpoints
- mkn9005@direct.weillcornell.org
- https://fhir4.healow.com/fhir/r4/GCFJBA
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- casacolina@direct.casacolina.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 66
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.
-
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
NY
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
NY
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1558455600
NY
-
- Diagnostic Radiology Physician
- Pomona, CA
- NPI 1619068921
NY
-
- Diagnostic Radiology Physician
- Covina, CA
- NPI 1992797070
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
-
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
- General Acute Care Hospital
- Pottstown, PA
- NPI 1649794421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1346568227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVICK",
"first_name": "MICHAEL",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-17",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD.204917",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "240684",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD455825",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A112341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.