Individual provider Active NPI

Michael R Stoesz, M.D.

  • Family Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1639259476
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31017 Issued in MN
Practice address
2600 39TH Ave NE
Minneapolis, MN 55421-4379
Phone
(612) 706-2900
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31017 MN Primary

Addresses

Primary practice location

2600 39TH Ave NE
Minneapolis, MN 55421-4379

Mailing address

2600 39TH Ave NE
Minneapolis, MN 55421-4379
Phone (612) 706-2900

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
I20060123000695 MN Practitioner - Family Practice 4385626720 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care Current Accepting new patients
North Memorial Health Care CurrentSince Jan 1, 2010 Accepting new patients

Locations

5615 Xerxes Ave N
Brooklyn Center, MN 55430
Phone (763) 581-5630

800 Freeport Ave NW
Ste 100
Elk River, MN 55330
Phone (763) 581-5200

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900

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

8559 Edinbrook Pkwy
Minneapolis, MN 55443
Phone (763) 425-3644

327 Central Ave SE
Minneapolis, MN 55414
Phone (612) 379-1119

8301 Golden Valley Rd
Ste 100
Minneapolis, MN 55427
Phone (763) 520-2200

4209 Webber Pkwy
Minneapolis, MN 55412
Phone (763) 553-0544

2000 Plymouth Rd
Ste 100
Minnetonka, MN 55305
Phone (763) 581-5250

15535 34th Ave N
Plymouth, MN 55447
Phone (763) 581-5950

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

2600 39th Ave NE
Saint Anthony, MN 55421
Phone (612) 706-2690

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1639259476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 39TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214379",
            "telephone_number": "612-706-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 39TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214379",
            "telephone_number": "612-706-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOESZ",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "31017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.