Individual provider Active NPI

Shambeel H Rizvi, MD

  • Rheumatology Physician
  • Monticello, MN
National Provider Identifier
1497763700
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
52523 Issued in MN
Practice address
536 Cedar St
Monticello, MN 55362-8403
Phone
(763) 634-2273
Fax
(763) 390-4035
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 49134 WI
Rheumatology Physician 207RR0500X 52523 MN Primary

Addresses

Primary practice location

536 Cedar St
Monticello, MN 55362-8403

Mailing address

9749 Greenspruce CT N
Brooklyn Park, MN 55443-1515
Phone (612) 226-6576

Other identifiers 1

IdentifierTypeStateIssuer
34842300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000007 MN Practitioner - Internal MedicinePractitioner - RheumatologyPractitioner - Critical Care (Intensivists) 3678582608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Rheumatology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regency Hospital of Minneapolis, LLCGroup PAC ID 0345203840, 22 clinicians

Practice addresses (Care Compare)

11937 Central Ave NE
Blaine, MN 55434-3911
Phone (763) 634-2273

1300 Hidden Lakes Pkwy
Golden Valley, MN 55422-4286
Phone (763) 588-2750

Hospital & facility affiliations

  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
  • Welia Health Hospital, Mora, MN, CCN 241367
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Hennepin County Medical Center Hospital, Minneapolis, MN, CCN 240004
  • Regency Hospital of Minneapolis LLC Long-term care hospital, Golden Valley, MN, CCN 242005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Hospital of Minneapolis, LLC CurrentSince Sep 11, 2012 Accepting new patients
Arthritis Clinic & Medical Associates P.C Rheumatology CurrentSince Nov 10, 2010 Accepting new patients
North Memorial Health Care CurrentSince Apr 1, 2022 Accepting new patients
North Memorial Health Care Current Accepting new patients

Locations

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

11937 Central Ave NE
Minneapolis, MN 55434
Phone (763) 463-9515

536 Cedar St
Monticello, MN 55362
Phone (763) 463-9515

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

Organizations & group practices 4

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.

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1497763700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 GREENSPRUCE CT N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431515",
            "telephone_number": "612-226-6576",
            "fax_number": "763-390-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628403",
            "telephone_number": "763-634-2273",
            "fax_number": "763-390-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SHAMBEEL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "49134",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "52523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34842300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

Verify at the official NPI Registry.