Active NPI
Jon I McIver, M.D.
- Neurological Surgery Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 42697
- Practice address
- 295 Phalen Blvd
Saint Paul, MN 55130-2400 - Phone
- (651) 495-6600
- Fax
- (952) 883-9677
- NPI assigned
- Jan 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 42697 | MN | Primary |
Addresses
Primary practice location
295 Phalen Blvd
Saint Paul, MN 55130-2400
Mailing address
10016 Indigo Dr
Eden Prairie, MN 55347-1206
Phone (612) 751-1414
Other practice location 1
301 Saint Paul Pl
Baltimore, MD 21202-2165
Phone (410) 801-4490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649666100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Neurosurgery
- Education
- Loma Linda University School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
12 Newport Dr
Forest Hill, MD 21050-1758
301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2963
Hospital & facility affiliations
- Stella Maris, Inc.
- Mercy Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 57 |
| Laminectomy or laminotomy (partial removal of spine bones) | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42697 | MN | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center Inc | Past | Accepting new patients | |
| Neurosurgical Associates, LTD. | Past | Accepting new patients |
Interoperability endpoints
- jmciver47782@direct.healthpartners.com
- jmciver94051@direct.mdmercy.com
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Baltimore, MD
- NPI 1013303213
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- Specialist
- Minneapolis, MN
- NPI 1558317925
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
-
- Home Health Agency
- Timonium, MD
- NPI 1730295668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1689653792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10016 INDIGO DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471206",
"telephone_number": "612-751-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 PHALEN BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551302400",
"telephone_number": "651-495-6600",
"fax_number": "952-883-9677"
}
],
"practiceLocations": [
{
"address_1": "301 Saint Paul Pl",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212022165",
"country_code": "US",
"telephone_number": "410-801-4490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCIVER",
"first_name": "JON",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MN",
"license": "42697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "649666100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.