Active NPI
Chad Erik Roline, M.D.
- Emergency Medicine Physician
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 52353
- Practice address
- 4300 Marketpointe Dr Ste 100
Bloomington, MN 55435 - Phone
- (952) 835-9880
- Fax
- (952) 857-1554
- NPI assigned
- May 7, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 54882-020 | WI | |
| Emergency Medicine Physician | 207P00000X | 52353 | MN | Primary |
Addresses
Primary practice location
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435
Mailing address
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone (952) 835-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20402 | Other | MN | RESIDENT PERMIT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 Marketpointe Dr
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54882-020 | WI | MD | Emergency Medicine Physician |
Practice roles
Locations
9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000
4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Interoperability endpoints
- croline806676@direct.emplifyhealth.org
Organizations & group practices 25
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.
-
- Emergency Medicine Physician
- Bloomington, MN
- NPI 1801871934
-
- Critical Access Hospital
- Wabasha, MN
- NPI 1659355600
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Critical Access Hospital
- Boscobel, WI
- NPI 1760459846
-
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
- Clinic/Center
- Hillsboro, WI
- NPI 1104031798
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
- Urgent Care Clinic/Center
- Golden Valley, MN
- NPI 1750188488
-
- Urgent Care Clinic/Center
- Woodbury, MN
- NPI 1972734721
-
- Community/Retail Pharmacy
- Wabasha, MN
- NPI 1912334913
-
- Clinic/Center
- La Crosse, WI
- NPI 1497090138
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1710153986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 MARKETPOINTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554355435",
"telephone_number": "952-835-9880",
"fax_number": "952-857-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MARKETPOINTE DR STE 100",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-835-9880",
"fax_number": "952-857-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLINE",
"first_name": "CHAD",
"middle_name": "ERIK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "54882-020",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "52353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT PERMIT",
"identifier": "20402",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.