Michele D Granada, MD
Individual provider Active NPI Infectious Disease Physician · Minneapolis, MN
NPI 1487971941 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1487971941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 71635 (MN)
- Practice address
- 2800 Chicago Ave Ste 250
Minneapolis, MN 55407-1355 - Phone
- (612) 863-4096
- NPI assigned
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 37
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Indianhead Medical Center Shell Lake, Inc.
Allina Health System
Bay Area Community Health
Practice addresses (Care Compare)
113 4TH Ave
Shell Lake, WI 54871-4457
2800 Chicago Ave
Suite 250
Minneapolis, MN 55407-1355
Phone (612) 863-4096
9460 N Name Uno
Gilroy, CA 95020-3536
Phone (408) 729-9700
Hospital & facility affiliations
- Abbott Northwestern Hospital
- Park Nicollet Methodist Hospital
- Mercy Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220816000237 | MN | Practitioner - Internal Medicine |
4082746797 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40831 | IA | MD | Infectious Disease Physician |
| MD39944 | PA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Cuyuna Regional Medical Center | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Cuyuna Regional Medical Center | Current |
Accepting new patients | |
| Cuyuna Regional Medical Center | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2800 Chicago Ave
Ste 250
Minneapolis, MN 55407
Phone (612) 863-4096
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
Interoperability endpoints
- michelegranada@cicapc.allscriptsdirect.net
- granada.michele@cynchealthdsm.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 40831 | IA | |
| Infectious Disease Physician | 207RI0200X | MD39944 | PA | |
| Infectious Disease Physician | 207RI0200X | MD-40831 | IA | |
| Infectious Disease Physician | 207RI0200X | 71635 | MN | Yes |
Addresses
Primary practice location
2800 Chicago Ave Ste 250
Minneapolis, MN 55407-1355
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
411 Laurel St Ste A120
Des Moines, IA 50314-3027
Phone (515) 643-7900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgranada586760@excellian.direct.allina.com | Direct |
Other providers in Minneapolis, MN
- Frederick C Gramith
- Megan Michelle Gramlow
- Gary L Grammens
- Kevin Grams
- Kristine Granacher
- Carrie Jean Granbois
- Grand Avenue Rest Home Inc
- Grand Home Health Serive Inc
- Grand St Paul CVS LLC
- Grand St Paul CVS LLC
All providers in Minneapolis, MN · Infectious Disease Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.