Active NPI
Kunal Manohar Patel
- Neuroradiology Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 79257
- Practice address
- 5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416-2627 - Phone
- (952) 541-1840
- Fax
- (952) 543-6524
- NPI assigned
- Jun 15, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 60302-20 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301090426 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MN | ||
| Neuroradiology Physician | 2085N0700X | 79257 | MN | Primary |
Addresses
Primary practice location
5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416-2627
Mailing address
5775 Wayzata Blvd Ste 400
St Louis Park, MN 55416-1271
Phone (952) 541-1840
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79257 | MN | MD | Neuroradiology Physician |
| 60302-20 | WI | MD | Diagnostic Radiology Physician |
| 4301090426 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Thedacare Regional Medical Center-Neenah, Inc. | Current | Accepting new patients | |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Cdi Twin Cities ASC LLC | Current | Accepting new patients |
Locations
5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338
5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338
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.
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- St Louis Park, MN
- NPI 1659348092
-
dba Rayus Twin Cities ASC
- Ambulatory Surgical Clinic/Center
- St Louis Park, MN
- NPI 1245207687
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
-
dba ThedaCare Diagnostic Imaging Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Appleton, WI
- NPI 1780733840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1578768131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD STE 400",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161271",
"telephone_number": "952-541-1840",
"fax_number": "952-543-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD STE 190",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554162627",
"telephone_number": "952-541-1840",
"fax_number": "952-543-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUNAL",
"middle_name": "MANOHAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "60302-20",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301090426",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MN",
"license": "79257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.