Active NPI
Garrett Michael Carpenter, DO
- Diagnostic Radiology Physician
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 75433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 SystemFairview ClinicsTria Orthopaedic Center LLCGrand Itasca Clinic and HospitalPembina County Memorial Hospital AssociationAltru Health SystemLutheran Charity AssociationMarshfield Clinic IncMidwest Radiology PARidgeview Medical CenterFairview Express CareMidwest Radiology Outpatient Imaging LLCThe Duluth Clinic LTDRange Regional Health ServicesSuburban Imaging LLC
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
- Allina United Hospital
- M Health Fairview Southdale Hospital
- Mercy Hospital
- Altru Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75433 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Towner County Medical Center Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | 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 | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Ridgeview Medical Center | Current | Accepting new patients | |
| Lac Qui Parle Clinic of Madison Inc | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Marshfield Clinic Inc | Surgery | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| William Noyes, MD PC | Current | Accepting new patients | |
| Lutheran Charity Association | Diagnostic Radiology | Current | Accepting new patients |
| Suburban Imaging, LLC | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ridgeview Medical Center | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Madison Healthcare Services | Current | Accepting new patients | |
| Fairview Clinics | Current | 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 | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| P R Health Corporation | Current | Accepting new patients | |
| Midwest Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Consulting Radiologists, LTD | Diagnostic Radiology | Past | 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
- 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.
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
Diagnostic Radiology, MN
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
Diagnostic Radiology, MN, WI
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
Diagnostic Radiology, MN, WI
-
- Diagnostic Radiology Physician
- Jamestown, ND
- NPI 1700038981
Diagnostic Radiology, MN
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.