Individual provider Active NPI

Garrett Michael Carpenter, DO

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1477044394
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
75433 Issued in MN
Practice address
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113
Phone
(651) 292-2000
Fax
(314) 747-4189
NPI assigned
May 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2023006679 MO
Diagnostic Radiology Physician 2085R0202X 75433 MN Primary

Addresses

Primary practice location

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240619001992 MN Practitioner - Diagnostic Radiology 7719233840 Reassigns benefits to 25 organizations
I20240619002485 ND Practitioner - Diagnostic Radiology 7719233840 Reassigns benefits to 3 organizations
I20240620000716 WI Practitioner - Diagnostic Radiology 7719233840 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Pembina County Memorial Hospital AssociationGroup PAC ID 4789643719, 142 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

10705 Town Square Dr NE
Suite 100
Blaine, MN 55449-8185
Phone (763) 236-5400

11850 Blackfoot St NW
Coon Rapids, MN 55433-2773

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

14655 Galaxie Ave
Apple Valley, MN 55124-8602

150 Emerson Ave E
West St Paul, MN 55118-2535
Phone (651) 241-1800

1540 Lake St S
Forest Lake, MN 55025-2628
Phone (651) 464-7100

155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742

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

1880 N Frontage Rd
Hastings, MN 55033-2687
Phone (612) 775-6200

225 Smith Ave N
Suite 300
St Paul, MN 55102-2592
Phone (651) 241-5000

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

2450 Riverside Ave
Minneapolis, MN 55454-1450

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

2925 Chicago Ave
Minneapolis, MN 55407-1321

400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100

411 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742

4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306

4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461

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

4300 Edgewood Dr NE
St Michael, MN 55376-4588
Phone (763) 744-4000

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

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

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

Hospital & facility affiliations

  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75433MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Towner County Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2024 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Range Regional Health Services Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Ridgeview Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Aug 3, 2024 Accepting new patients
The Duluth Clinic LTD CurrentSince Feb 20, 2025 Accepting new patients
Fairview Clinics CurrentSince Jul 1, 2024 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Jul 1, 2024 Accepting new patients
Park Nicollet Clinic CurrentSince Mar 26, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 1, 2024 Accepting new patients
Altru Health System CurrentSince Jul 1, 2024 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 1, 2024 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Jul 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Marshfield Clinic Inc Surgery CurrentSince Oct 15, 2024 Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2024 Accepting new patients
Park Nicollet Clinic CurrentSince Mar 26, 2025 Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2024 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
William Noyes, MD PC CurrentSince Jan 2, 2026 Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Suburban Imaging, LLC CurrentSince Jul 1, 2024 Accepting new patients
Altru Health System Current Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Altru Health System CurrentSince Jul 1, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Allina Health System CurrentSince Jul 1, 2024 Accepting new patients
Madison Healthcare Services CurrentSince Oct 3, 2025 Accepting new patients
Fairview Clinics CurrentSince Jul 1, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Allina Health System Current Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Loyola University Medical Center Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Feb 20, 2025 Accepting new patients
P R Health Corporation Current Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Jul 1, 2024 Accepting new patients

Locations (25 of 46)

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

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

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

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

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

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

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

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

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

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

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

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

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

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

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

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

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

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

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

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

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

8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900

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

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

Interoperability endpoints

  • Direct secure messaging: gcarpenter102017@direct.luhs.org

Organizations & group practices 126

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.

View all 126

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1477044394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W.",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W.",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-292-2000",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "GARRETT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-26",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2023006679",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "75433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.