Active NPI
Arkady Synhavsky, M.D.
- Nephrology Physician
- Roseville, MN
National Provider Identifier
1447277306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 27206
- Practice address
- 2085 Rice St
Roseville, MN 55113-6807 - Phone
- (651) 489-9035
- Fax
- (651) 489-6373
- NPI assigned
- Jul 16, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 27206 | MN | Primary |
Addresses
Primary practice location
2085 Rice St
Roseville, MN 55113-6807
Mailing address
6200 Shingle Creek Pkwy
Suite 260
Brooklyn Center, MN 55430-2128
Phone (763) 561-5349
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17599SY | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 101872800 | Medicaid | MN | |
| 3112817 | Other | MN | MEDICA |
| 100271C028 | Other | MN | UCARE |
| 30739500 | Medicaid | WI | |
| 12038 | Other | MN | PREFERRED ONE |
| HP14519 | Other | MN | HEALTHPARTNERS |
| NP0204 | Other | MN | AMERICA'S PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27206 | MN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ilbnc, P.a. | Past | Accepting new patients | |
| Kidney Specialists of Minnesota, PA | Nephrology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
-
- Nephrology Physician
- Brooklyn Center, MN
- NPI 1629010228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1447277306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY",
"address_2": "SUITE 260",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302128",
"telephone_number": "763-561-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 RICE ST",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136807",
"telephone_number": "651-489-9035",
"fax_number": "651-489-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYNHAVSKY",
"first_name": "ARKADY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MN",
"license": "27206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "17599SY",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101872800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "3112817",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "100271C028",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30739500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "12038",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP14519",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "NP0204",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.