Active NPI
Evan Sullivan Manning, MD
- Cardiovascular Disease Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 76714
- Practice address
- 500 Harvard St SE
Minneapolis, MN 55455-0363 - Phone
- (612) 273-8383
- NPI assigned
- Mar 30, 2019
- Last updated
- Jun 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76714 | MN | |
| Cardiovascular Disease Physician | 207RC0000X | 76714 | MN | Primary |
Addresses
Primary practice location
500 Harvard St SE
Minneapolis, MN 55455-0363
Mailing address
420 Delaware St SE
Minneapolis, MN 55455-0341
Phone (612) 625-9100
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
- Internal Medicine
- Education
- University of Colorado School of Medicine, Aurora, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401
3605 Mayfair Ave
Hibbing, MN 55746-2935
Phone (218) 262-3441
6401 University Ave NE
Fridley, MN 55432-4341
Phone (763) 502-6602
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
6401 University Ave NE
Minneapolis, MN 55432
Phone (763) 572-5706
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0331
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
909 Fulton St SE
Ste 318
Minneapolis, MN 55455
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba Grand Itasca Pharmacy
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1225441157
-
dba HealthLine Medical Supply
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
-
dba University of Minnesota Health Clinics and Surgery Center - Anesthesia
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
-
dba Fairview Southdale Hospital
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1639630684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-625-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HARVARD ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550363",
"telephone_number": "612-273-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "EVAN",
"middle_name": "SULLIVAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-30",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "76714",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MN",
"license": "76714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.