NPIMap

Individual provider Active NPI

Garrett R Trobec, MD

  • Family Medicine Physician
  • Shoreview, MN
National Provider Identifier
1386655488
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40829 Issued in MN
Practice address
404 Highway 96 W
Shoreview, MN 55126-1900
Phone
(651) 483-8283
Fax
(651) 483-8299
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40829 MN Primary

Addresses

Primary practice location

404 Highway 96 W
Shoreview, MN 55126-1900

Mailing address

2025 Sloan PL
Ste 35
Saint Paul, MN 55117-2007
Phone (651) 772-1572

Other identifiers 1

IdentifierTypeStateIssuer
325817300MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000814 MN Practitioner - Family Practice 5890719322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthservices Minnesota PAGroup PAC ID 1355369018, 55 clinicians

Practice addresses (Care Compare)

404 Hwy 96 W
Shoreview, MN 55126-1900
Phone (651) 788-4444

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Brooklyn Park, MN, CCN 247145
  • Allina Health Home Health Home health agency, Minneapolis, MN, CCN 248091
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40829MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthservices Minnesota, P.a. Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Family Healthservices Minnesota, P.a. Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
East Metro Family Practice, P.a. Family Medicine Past Accepting new patients
Minnhealth Family Physicians, P.a. Family Medicine Past Accepting new patients
Family Healthservices Minnesota, P.a. Family Medicine Past Accepting new patients

Locations

2025 Sloan Pl
Ste 35
Saint Paul, MN 55117
Phone (651) 772-1572

2601 Centennial Dr
Ste 100
Saint Paul, MN 55109
Phone (651) 777-7414

404 Highway 96 W
Shoreview, MN 55126
Phone (651) 482-8080

Interoperability endpoints

  • Direct secure messaging: garrett.trobec@entira.eclinicaldirectplus.com

Organizations & group practices 5

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 8

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1386655488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SLOAN PL",
            "address_2": "STE 35",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172007",
            "telephone_number": "651-772-1572",
            "fax_number": "651-772-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HIGHWAY 96 W",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261900",
            "telephone_number": "651-483-8283",
            "fax_number": "651-483-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROBEC",
        "first_name": "GARRETT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "40829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325817300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

Verify at the official NPI Registry.