Individual provider Active NPI

Carmelo J Panetta

  • Interventional Cardiology Physician
  • Saint Paul, MN
National Provider Identifier
1528094711
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
43003 Issued in MN
Practice address
1700 University Ave W FL 6
Saint Paul, MN 55104-3727
Phone
(651) 232-2273
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 43003 MN Primary
Cardiovascular Disease Physician 207RC0000X 43003 MN

Addresses

Primary practice location

1700 University Ave W FL 6
Saint Paul, MN 55104-3727

Mailing address

6465 Wayzata Blvd
Suite 315
St Louis Park, MN 55426-1728

Other practice location 1

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031218000743 MN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9032016837 Reassigns benefits to 7 organizations
I20241219000522 WI Practitioner - Interventional Cardiology 9032016837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

1600 Saint Johns Blvd
Suite 200
Maplewood, MN 55109-1190
Phone (651) 326-2328

1700 University Ave W
Saint Paul, MN 55104-3727

1875 Woodwinds Dr
Suite 240
Woodbury, MN 55125-2517
Phone (651) 326-2328

Hospital & facility affiliations

  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43003MNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Dec 1, 2024 Accepting new patients
Fairview Bethesda Hospital CurrentSince Feb 1, 2011 Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Feb 1, 2011 Accepting new patients
Healtheast Care System CurrentSince Feb 1, 2011 Accepting new patients
Fairview Clinics CurrentSince Apr 22, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 1, 2020 Accepting new patients
Healtheast St. John'S Hospital CurrentSince Feb 1, 2011 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Apr 22, 2020 Accepting new patients
Fairview Express Care CurrentSince Dec 1, 2024 Accepting new patients
Fairview Clinics CurrentSince Apr 22, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics CurrentSince Apr 22, 2020 Accepting new patients
Healtheast Medical Research Institute Cardiovascular Disease CurrentSince Dec 1, 2020 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Cardio-Pulmonary Associates Medical Group Inc a Professional Corp Past Accepting new patients

Locations

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

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

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

3809 42nd Ave S
Minneapolis, MN 55406
Phone (612) 407-7213

3033 Excelsior Blvd
Ste 275
Minneapolis, MN 55416
Phone (612) 827-4751

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1151 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (612) 706-4500

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1600 Saint Johns Blvd
Ste 200
Saint Paul, MN 55109
Phone (651) 326-4327

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290

Interoperability endpoints

  • Direct secure messaging: cpanetta502268@fairview.direct-ci.com

Organizations & group practices 20

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 20

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1528094711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD",
            "address_2": "SUITE 315",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W FL 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "651-232-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-4887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANETTA",
        "first_name": "CARMELO",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MN",
            "license": "43003",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "43003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.