NPIMap

Individual provider Active NPI

Michael F. McNeeley, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
National Provider Identifier
1649430976
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
61319 Issued in MN
Practice address
5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone
(952) 541-1840
Fax
(952) 543-6524
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PA 82 clinicians

Practice addresses (Care Compare)

10438 185TH St W
Suite 100
Lakeville, MN 55044-5307
Phone (952) 345-3878

155 Dehler Dr
Sartell, MN 56377-4407
Phone (320) 251-0609

15700 37TH Ave N
Suite 100
Plymouth, MN 55446-3663
Phone (952) 541-1840

1790 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 294-4639

1901 Connecticut Ave S
Suite 200
Sartell, MN 56377-2554
Phone (320) 251-0609

2270 Ford Pkwy
Suite 202
Saint Paul, MN 55116-3412
Phone (651) 455-5500

2305 108TH LN NE
Blaine, MN 55449-5222
Phone (763) 278-4429

232 Wentworth Ave E
West St Paul, MN 55118-3525
Phone (651) 209-0219

2700 Vikings Cir
Suite 110
Eagan, MN 55121-1002
Phone (651) 306-4567

3260 42ND Ave S
Suite 101
Saint Cloud, MN 56301-6251
Phone (320) 251-0609

33801 1St Way S
Federal Way, WA 98003-6219

3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840

675 E Nicollet Blvd
Suite 150
Burnsville, MN 55337-6742
Phone (952) 898-6627

7123 France Ave S
Edina, MN 55435-4304
Phone (952) 345-3838

775 Prairie Ctr Dr
Suite 260
Eden Prairie, MN 55344-7334
Phone (952) 294-8222

9040 Quaday Ave NE
Suite 100
Otsego, MN 55330-6657
Phone (763) 433-2033

9630 Grove Cir N
Suite 100
Maple Grove, MN 55369-3477
Phone (763) 416-9916

Hospital & facility affiliations

  • Alomere Health Hospital, Alexandria, MN, CCN 240030
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140604001885 WA Practitioner - Diagnostic Radiology 3173747581 Reassigns benefits to 1 organization
I20161107001739 MN Practitioner - Diagnostic Radiology 3173747581 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61319MNMDClinical Social Worker
MD60235444WAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Oct 2, 2016 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Current Accepting new patients

Locations

11900 Pennsylvania St
Ste 100
Carmel, IN 46032

10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133

7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880

1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980

3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984

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

33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226

7308 Bridgeport Way W
Ste 101
Lakewood, WA 98499
Phone (253) 682-1666

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD60235444 WA
Diagnostic Radiology Physician 2085R0202X 61319 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627

Mailing address

PO Box 1450
NW 6035
Minneapolis, MN 55485-6035
Phone (952) 542-8553

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2019.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1649430976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "address_2": "NW 6035",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554856035",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD",
            "address_2": "SUITE 190",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162627",
            "telephone_number": "952-541-1840",
            "fax_number": "952-543-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELEY",
        "first_name": "MICHAEL",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "MD60235444",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "61319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.