Individual provider Active NPI

Shruti Vakil, M.D

  • Hospitalist Physician
  • Saint Paul, MN
National Provider Identifier
1720391493
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
64409 Issued in MN
Practice address
45 10TH St W
Saint Paul, MN 55102-1062
Phone
(651) 326-3700
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD449854 PA
Internal Medicine Physician 207R00000X 64409 MN
Hospitalist Physician 208M00000X MD185423 OR
Hospitalist Physician 208M00000X 64409 MN Primary

Addresses

Primary practice location

45 10TH St W
Saint Paul, MN 55102-1062

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-1800

Other practice location 1

1001 E Superior St Ste L401
Duluth, MN 55802-2207
Phone (218) 249-7960

Other practice location 2

1316 W Ontario St
Philadelphia, PA 19140-5220
Phone (215) 707-1800

Other practice location 3

915 E 1st St
Duluth, MN 55805-2107
Phone (218) 249-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181204000776 TX Practitioner - Internal Medicine 1951531904 Reassigns benefits to 1 organization
I20190620002046 MN Practitioner - Internal Medicine 1951531904 Reassigns benefits to 4 organizations
I20211202002453 OR Practitioner - Internal MedicinePractitioner - Hospitalist 1951531904 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225-6603

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449854PAMDInternal Medicine Physician
MD185423ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth Family Medicine CurrentSince Jun 15, 2019 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Healtheast Medical Research Institute Family Medicine CurrentSince Jul 20, 2019 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 2, 2018 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2022 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Jul 20, 2019 Accepting new patients
Fairview Health Services CurrentSince Oct 18, 2019 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jun 15, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2022 Accepting new patients
Fairview Health Services Hospitalist CurrentSince Oct 18, 2019 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Providence Health & Services Oregon Family Medicine Current Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Ridgeview Medical Center Family Medicine CurrentSince Oct 1, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

1001 E Superior St
Ste L401
Duluth, MN 55802
Phone (218) 249-7960

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1720391493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-1800",
            "fax_number": "215-707-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 10TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021062",
            "telephone_number": "651-326-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E Superior St Ste L401",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558022207",
            "country_code": "US",
            "telephone_number": "218-249-7960",
            "fax_number": "218-249-7997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 W Ontario St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405220",
            "country_code": "US",
            "telephone_number": "215-707-1800",
            "fax_number": "215-707-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052107",
            "country_code": "US",
            "telephone_number": "218-249-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAKIL",
        "first_name": "SHRUTI",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD449854",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "64409",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD185423",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "64409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.