Active NPI
Martin J Asis, MD
- Diagnostic Radiology Physician
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 42136
- Practice address
- 2355 Highway 36 W Ste 100
Roseville, MN 55113-3905 - Phone
- (651) 292-2000
- NPI assigned
- Jan 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 42136 | MN | Primary |
Addresses
Primary practice location
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Mailing address
5775 Wayzata Blvd Ste 400
Saint Louis Park, MN 55416-1271
Phone (952) 738-4729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313620500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Connecticut School of Medicine, 1997
- 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
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42136 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Pembina County Memorial Hospital Association | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Cdi Twin Cities ASC LLC | Current | Accepting new patients | |
| Lac Qui Parle Clinic of Madison Inc | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Madison Healthcare Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Christian Unity Hospital Corporation | Past | Accepting new patients | |
| Consulting Radiologists, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Consulting Radiologists, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Twin Cities Medical Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 27)
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777
1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612
900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536
2945 Hazelwood St
Ste 110
Maplewood, MN 55109
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
166 4th St E
Ste 100
Saint Paul, MN 55101
2355 Highway 36 W
Ste 100
Saint Paul, MN 55113
Phone (651) 292-0000
166 4th St E
Ste 300
Saint Paul, MN 55101
166 4th St E
#300
Saint Paul, MN 55101
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
166 4th St E
Saint Paul, MN 55101
Phone (651) 292-2009
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
155 Radio Dr
Woodbury, MN 55125
Phone (952) 883-6212
301 Mountain St E
Cavalier, ND 58220
Phone (701) 265-6307
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000
1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600
Organizations & group practices 24
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
- St Louis Park, MN
- NPI 1659348092
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Rural Health Clinic/Center
- Madison, MN
- NPI 1144266156
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
Diagnostic Radiology
-
- General Practice Physician
- River Falls, WI
- NPI 1407395247
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
- Rural Health Clinic/Center
- Cavalier, ND
- NPI 1417093949
MN
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Ambulatory Surgical Clinic/Center
- St Louis Park, MN
- NPI 1245207687
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Sioux Falls, SD
- NPI 1316946809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1598743833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD STE 400",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554161271",
"telephone_number": "952-738-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HIGHWAY 36 W STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "651-292-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIS",
"first_name": "MARTIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "42136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313620500",
"state": "MN"
}
],
"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 Feb 15, 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.