NPIMap

Individual provider Active NPI

Kevin E Snyder, M.D.

  • Diagnostic Radiology Physician
  • St Louis Park, MN
National Provider Identifier
1396791240
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
49366 Issued in MN
Practice address
5775 Wayzata Blvd.
Suite 190
Saint Louis Park, MN 55416-2627
Phone
(952) 541-1840
Fax
(952) 513-6880
NPI assigned
May 25, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27656 SC
Diagnostic Radiology Physician 2085R0202X 49366 MN Primary
Diagnostic Radiology Physician 2085R0202X ME0090817 FL

Addresses

Primary practice location

5775 Wayzata Blvd.
Suite 190
Saint Louis Park, MN 55416-2627

Mailing address

PO Box 1450
NW 6035
Minneapolis, MN 55485-6035
Phone (800) 634-4064

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
I20070125000137 MN Practitioner - Diagnostic Radiology 9335114735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

10438 185TH St W
Suite 100
Lakeville, MN 55044-5307
Phone (952) 345-3878

155 Dehler Dr
Sartell, MN 56377-4407
Phone (320) 251-0609

15700 37TH Ave N
Suite 100
Plymouth, MN 55446-3663
Phone (952) 541-1840

1790 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 294-4639

1901 Connecticut Ave S
Suite 200
Sartell, MN 56377-2554
Phone (320) 251-0609

2270 Ford Pkwy
Suite 202
Saint Paul, MN 55116-3412
Phone (651) 455-5500

2305 108TH LN NE
Blaine, MN 55449-5222
Phone (763) 278-4429

251 County Rd
120 Suite D
Sartell, MN 56303-4897
Phone (320) 251-0609

2700 Vikings Cir
Suite 110
Eagan, MN 55121-1002
Phone (651) 306-4567

3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840

675 E Nicollet Blvd
Suite 150
Burnsville, MN 55337-6742
Phone (952) 898-6627

7123 France Ave S
Edina, MN 55435-4304
Phone (952) 345-3838

775 Prairie Ctr Dr
Suite 260
Eden Prairie, MN 55344-7334
Phone (952) 294-8222

9040 Quaday Ave NE
Suite 100
Otsego, MN 55330-6657
Phone (763) 433-2033

9630 Grove Cir N
Suite 100
Maple Grove, MN 55369-3477
Phone (763) 416-9916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0090817FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Current Accepting new patients
Medical Scanning Consultants, PA Diagnostic Radiology CurrentSince Jan 2, 2007 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jan 2, 2007 Accepting new patients
Pacific Imaging PLLC Diagnostic Radiology Past Accepting new patients
William Henry Lanehart MD PC Past Accepting new patients
Jewett Orthopaedic Clinic LLC Diagnostic Radiology Past Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology PastSince Aug 15, 2021 Accepting new patients

Locations

1781 Park Center Dr
Ste 110
Orlando, FL 32835
Phone (407) 253-7190

1000 W Broadway St
Ste 140
Oviedo, FL 32765
Phone (407) 359-6001

1295 Orange Ave
Winter Park, FL 32789
Phone (407) 628-5051

964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051

5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338

33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226

7308 Bridgeport Way W
Ste 101
Lakewood, WA 98499
Phone (253) 682-1666

6808 220th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 744-7420

463 Tremont St W
Ste 130
Port Orchard, WA 98366
Phone (360) 876-3141

20700 Bond Rd NE
Bldg B
Poulsbo, WA 98370
Phone (206) 451-4308

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1396791240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "address_2": "NW 6035",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554856035",
            "telephone_number": "800-634-4064",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD.",
            "address_2": "SUITE 190",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162627",
            "telephone_number": "952-541-1840",
            "fax_number": "952-513-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "27656",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "49366",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0090817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.