Active NPI
Sonya Fuad, M.D.
- Family Medicine Physician
- St Louis Park, MN
National Provider Identifier
1689605479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36018
- Practice address
- 1660 Highway 100 S
Suite 250
St Louis Park, MN 55416-1529 - Phone
- (952) 746-5774
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36018 | MN | Primary |
Addresses
Primary practice location
1660 Highway 100 S
Suite 250
St Louis Park, MN 55416-1529
Mailing address
1660 Highway 100 S
Suite 250
St Louis Park, MN 55416-1529
Phone (952) 746-5774
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32G76FU | Other | MN | BCBS |
| 1011755 | Other | MN | PREFERRED ONE |
| 1053373 | Other | MN | ARAZ |
| HP18640 | Other | MN | HEALTHPARTNERS |
| 01-04566 | Other | MN | MEDICA CHOICE |
| 104843 | Other | MN | UCARE |
| 255062800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1689605479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 HIGHWAY 100 S",
"address_2": "SUITE 250",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161529",
"telephone_number": "952-746-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 HIGHWAY 100 S",
"address_2": "SUITE 250",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161529",
"telephone_number": "952-746-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUAD",
"first_name": "SONYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "36018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32G76FU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1011755",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "1053373",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP18640",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "01-04566",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "104843",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255062800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.