Individual provider Active NPI

Matthew Soule, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Minneapolis, MN
National Provider Identifier
1437393113
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
62795 Issued in MN
Practice address
420 Delaware St SE
MMC 207
Minneapolis, MN 55455-0341
Phone
(612) 625-8698
NPI assigned
Apr 27, 2009
Last updated
Aug 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 62795 MN Primary

Addresses

Primary practice location

420 Delaware St SE
MMC 207
Minneapolis, MN 55455-0341

Mailing address

420 Delaware St SE
MMC 207
Minneapolis, MN 55455-0341

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
I20170830003748 MN Practitioner - Thoracic Surgery 5395041800 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of North Dakota School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000

6405 France Ave S
Suite W200
Edina, MN 55435-2163
Phone (952) 848-5600

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62795MNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jan 1, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
University of Minnesota Physicians CurrentSince Aug 3, 2017 Accepting new patients
Fairview Bethesda Hospital CurrentSince Jun 15, 2020 Accepting new patients
The Duluth Clinic, LTD. CurrentSince May 1, 2024 Accepting new patients
The Duluth Clinic LTD CurrentSince May 1, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince May 14, 2020 Accepting new patients
Healtheast St. John's Hospital CurrentSince Jun 15, 2020 Accepting new patients
St Marys Medical Center CurrentSince Oct 1, 2024 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Fairview Clinics CurrentSince May 14, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 11, 2017 Accepting new patients
Healtheast Care System CurrentSince Jun 15, 2020 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 1, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 11, 2017 Accepting new patients
Fairview Health Services CurrentSince May 14, 2020 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 1, 2019 Accepting new patients
Fairview Health Services CurrentSince May 14, 2020 Accepting new patients
St. Mary's Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
University of Minnesota Physicians CurrentSince Aug 3, 2017 Accepting new patients

Locations

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

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900

420 Delaware St SE
#207
Minneapolis, MN 55455
Phone (612) 624-1722

6405 France Ave S
Ste W200
Minneapolis, MN 55435
Phone (952) 836-3700

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: msoule319426@fairview.direct-ci.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 7

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": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1437393113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-625-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULE",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "62795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.