Individual provider Active NPI

Stephen Hilding Pearson, M.D.

  • Diagnostic Radiology Physician
  • Chanhassen, MN
National Provider Identifier
1366538068
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
61789 Issued in MN
Practice address
9277 Hawkcrest CT
Chanhassen, MN 55317-4827
Phone
(301) 642-3006
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 61789 MN Primary

Addresses

Primary practice location

9277 Hawkcrest CT
Chanhassen, MN 55317-4827

Mailing address

9277 Hawkcrest CT
Chanhassen, MN 55317-4827
Phone (301) 642-3006

Other practice location 1

1101 9th St N
Virginia, MN 55792-2329
Phone (218) 741-0150

Other practice location 2

420 E 1st St
Duluth, MN 55805-1901
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170330002074 MN Practitioner - Diagnostic Radiology 0446535611 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (952) 442-2191

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

560 S Maple St
Waconia, MN 55387-1759

601 W Chandler St
Arlington, MN 55307-2127
Phone (507) 964-2271

621 S 4TH St
Le Sueur, MN 56058-2203
Phone (507) 665-3375

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD. CurrentSince Oct 10, 2022 Accepting new patients
St Francis Regional Medical Center CurrentSince May 1, 2017 Accepting new patients
Glencoe Regional Health Services CurrentSince Feb 6, 2024 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Sibley Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
St. Francis Regional Medical Center CurrentSince May 1, 2017 Accepting new patients
The Duluth Clinic LTD CurrentSince Oct 10, 2022 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Glencoe Regional Health Services CurrentSince Feb 6, 2024 Accepting new patients

Locations

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1366538068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9277 HAWKCREST CT",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174827",
            "telephone_number": "301-642-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9277 HAWKCREST CT",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174827",
            "telephone_number": "301-642-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 9th St N",
            "address_purpose": "LOCATION",
            "city": "Virginia",
            "state": "MN",
            "postal_code": "557922329",
            "country_code": "US",
            "telephone_number": "218-741-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051901",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "STEPHEN",
        "middle_name": "HILDING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "61789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.