Individual provider Active NPI

Michael Kevin Novick, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1346568227
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A112341 Issued in CA
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

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, ND4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100706000781 CA Practitioner - Diagnostic Radiology 4284765355 Reassigns benefits to 8 organizations
I20140519001392 NY Practitioner - Diagnostic Radiology 4284765355 Reassigns benefits to 13 organizations
I20200526001229 IL Practitioner - Diagnostic Radiology 4284765355
I20230315001015 ND Practitioner - Diagnostic Radiology 4284765355 Reassigns benefits to 1 organization

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
Virtual Radiologic Professionals of New York PAGroup PAC ID 9335244169, 27 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Beloit Radiology LTDGroup PAC ID 3274559711, 54 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

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 Hospital, Pottstown, PA, CCN 390123
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112341CAMDMarriage & Family Therapist
A112341CAMDDiagnostic Radiology Physician
MD.204917LAMDDiagnostic Radiology Physician
240684NYMDDiagnostic Radiology Physician

Practice roles (60 of 62)

OrganizationSpecialtyStatusNew patients
Olean General Hospital CurrentSince Sep 9, 2025 Accepting new patients
Glendora Radiological Assoc Inc Diagnostic Radiology CurrentSince Oct 1, 2019 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 CurrentSince Jan 28, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 1, 2023 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Sep 15, 2024 Accepting new patients
Kaleida Health CurrentSince Sep 15, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 28, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince May 30, 2023 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jul 5, 2022 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 CurrentSince Jul 10, 2018 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jan 1, 2023 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 10, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 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 PastSince Aug 12, 2017 Accepting new patients
The Carle Foundation Hospital Past Accepting new patients
Northern Radiology Imaging Center, PLLC Diagnostic Radiology PastSince Feb 21, 2021 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

  • Direct secure messaging: mkn9005@direct.weillcornell.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: casacolina@direct.casacolina.org
  • FHIR API: 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.

View all 66

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.