Individual provider Active NPI

Martin J Asis, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1598743833
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42136 Issued in MN
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

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
313620500MedicaidMN

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
I20031124000575 MN Practitioner - Diagnostic Radiology 3678477353 Reassigns benefits to 9 organizations
I20040903000550 WI Practitioner - Diagnostic Radiology 3678477353 Reassigns benefits to 3 organizations

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
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

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

LicenseStateTypeSpecialty
42136MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jan 10, 2024 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jan 10, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Altru Health System CurrentSince Jan 17, 2015 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Apr 2, 2018 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 18, 2023 Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Madison Healthcare Services Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Jul 15, 2019 Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Altru Health System CurrentSince Jan 17, 2015 Accepting new patients
Christian Unity Hospital Corporation Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Mar 1, 2019 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.

View all 24

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.