Active NPI
James H Sullivan, M.D.
- Diagnostic Radiology Physician
- Saint Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 43064
- Practice address
- 5775 Wayzata Blvd.
Suite 190
Saint Louis Park, MN 55416-2627 - Phone
- (952) 541-1840
- Fax
- (952) 513-6880
- NPI assigned
- Jan 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 43064 | MN | Primary |
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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 689492500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IN, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Scanning Consultants PA
Practice addresses (Care Compare)
10438 185TH St W
Suite 100
Lakeville, MN 55044-5307
Phone (952) 345-3878
11900 N Penn St
Carmel, IN 46032-4694
Phone (317) 846-0717
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
232 Wentworth Ave E
West St Paul, MN 55118-3525
Phone (651) 209-0219
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
3260 42ND Ave S
Suite 101
Saint Cloud, MN 56301-6251
Phone (320) 251-0609
3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000
5775 Wayzata Blvd
St Louis Park, MN 55416-2627
Phone (952) 541-1840
6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840
6735 W Red Hawk PL
Marana, AZ 85658-5035
Phone (952) 738-4441
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
7151 Marsh Rd
Suite 100
Indianapolis, IN 46278-1631
Phone (317) 580-5880
775 Prairie Ctr Dr
Suite 260
Eden Prairie, MN 55344-7334
Phone (952) 294-8222
8607 E US Hwy 36
Suite 200
Avon, IN 46123-7960
Phone (317) 569-5855
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43064 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Cdi Twin Cities ASC LLC | Current | Accepting new patients | |
| Maplewood Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
8607 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 569-5855
11900 Pennsylvania St
Ste 202
Carmel, IN 46032
Phone (317) 569-5767
11900 Pennsylvania St
#10
Carmel, IN 46032
11900 Pennsylvania St
Ste 100
Carmel, IN 46032
10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133
521 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 882-9422
7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880
1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980
3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984
13436 Tegler Dr
Ste 400
Noblesville, IN 46060
Phone (317) 569-5777
4313 S 7th St
Terre Haute, IN 47802
Phone (812) 234-0555
5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338
5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338
5775 Wayzata Blvd
Ste 500A
St Louis Park, MN 55416
Organizations & group practices 7
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
- Carmel, IN
- NPI 1396712725
-
- Ambulatory Surgical Clinic/Center
- St Louis Park, MN
- NPI 1245207687
-
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
-
- Diagnostic Radiology Physician
- Maplewood, MN
- NPI 1164604146
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1437138278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1450 NW 6035",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554856035",
"telephone_number": "800-634-4064",
"fax_number": "952-213-6880"
},
{
"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": "SULLIVAN",
"first_name": "JAMES",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "43064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "689492500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.