Individual provider Active NPI

Ahmad Al-Samaraee, M.D.

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1447593173
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
60640 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Apr 1, 2013
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 60640 MN Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Mailing address

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone (651) 292-2000

Other practice location 1

420 Delaware St SE
MMC 292
Minneapolis, MN 55455-0341
Phone (832) 618-9211

Other practice location 2

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, WI, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190801000035 MN Practitioner - Diagnostic Radiology 7810292828 Reassigns benefits to 20 organizations
I20220822002988 ND Practitioner - Diagnostic Radiology 7810292828 Reassigns benefits to 3 organizations
I20221116001521 WI Practitioner - Diagnostic Radiology 7810292828 Reassigns benefits to 4 organizations
I20231016001741 TX Practitioner - Diagnostic Radiology 7810292828 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

Parker, TX 75002
Phone (651) 292-2000

Richmond, TX 77407
Phone (651) 292-2000

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

166 E 4TH St
Suite 100
St Paul, MN 55101-1421
Phone (651) 292-2000

20215 Bristol Bluff LN
Richmond, TX 77407-1657
Phone (701) 952-1050

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3621

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-7422

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 4, 2019 Accepting new patients
Allina Health System CurrentSince Jul 1, 2019 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Altru Health System CurrentSince Jul 1, 2022 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Aug 4, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Park Nicollet Clinic CurrentSince Sep 3, 2023 Accepting new patients
Altru Health System CurrentSince Jul 1, 2022 Accepting new patients
Towner County Medical Center Inc CurrentSince Jul 20, 2022 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 18, 2023 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Dec 3, 2022 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Aug 1, 2023 Accepting new patients
Fairview Clinics CurrentSince Jan 20, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Jan 20, 2023 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jun 22, 2022 Accepting new patients
Suburban Imaging, LLC CurrentSince Jul 1, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics CurrentSince Oct 7, 2019 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Dec 3, 2022 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
P R Health Corporation Current Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 20, 2024 Accepting new patients
Fairview Health Services CurrentSince Oct 7, 2019 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Park Nicollet Clinic CurrentSince Sep 3, 2023 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Oct 7, 2019 Accepting new patients
Fairview Express Care CurrentSince Oct 7, 2019 Accepting new patients
Allina Health System CurrentSince Aug 5, 2022 Accepting new patients
The Duluth Clinic LTD CurrentSince Aug 1, 2023 Accepting new patients
Madison Healthcare Services CurrentSince Aug 3, 2024 Accepting new patients
Allina Health System CurrentSince Jul 1, 2019 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 1, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 4, 2019 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
Range Regional Health Services Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Jul 1, 2019 Accepting new patients

Locations (25 of 46)

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

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

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

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

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

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

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

420 Delaware St SE
#292
Minneapolis, MN 55455
Phone (612) 626-3345

4801 W 81st St
Ste 108
Minneapolis, MN 55437
Phone (952) 837-9700

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

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

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

Organizations & group practices 50

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 50

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1447593173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 292",
            "address_purpose": "LOCATION",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "country_code": "US",
            "telephone_number": "832-618-9211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022370",
            "country_code": "US",
            "telephone_number": "651-292-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-SAMARAEE",
        "first_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "60640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.