Individual provider Active NPI

Grant Larson, M.D.

  • Diagnostic Radiology Physician
  • Minneapolis, MN
National Provider Identifier
1720510506
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
67499 Issued in MN
Practice address
701 Park Ave
Minneapolis, MN 55415-1623
Phone
(612) 873-3922
NPI assigned
Mar 30, 2017
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 110641 GA
Diagnostic Radiology Physician 2085R0202X 67499 MN Primary

Addresses

Primary practice location

701 Park Ave
Minneapolis, MN 55415-1623

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, OR, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210715003660 ND Practitioner - Diagnostic Radiology 6305119900 Reassigns benefits to 3 organizations
I20230530000570 MN Practitioner - Diagnostic Radiology 6305119900 Reassigns benefits to 1 organization
I20260316002839 OR Practitioner - Diagnostic Radiology 6305119900 Reassigns benefits to 1 organization
I20260317001081 WA Practitioner - Diagnostic Radiology 6305119900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Medical Consultants LLCGroup PAC ID 2466951553, 4 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

224 W Ave a
Bismarck, ND 58501-3734
Phone (701) 333-8354

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28592MNMDPhysical Medicine & Rehabilitation Physician
67499MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cher LLC Diagnostic Radiology CurrentSince Jul 16, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 29, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 28, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 28, 2026 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
St Alexius Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Bismarck Radiology Associates PC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 28, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 26, 2026 Accepting new patients
St. Alexius Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince May 27, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jun 1, 2023 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince May 28, 2026 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Independent Medical Consultants LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Opensided MRI of Denver, LLC Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jun 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 19, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 19, 2026 Accepting new patients
Community Memorial Hospital Past Accepting new patients

Locations

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

Organizations & group practices 31

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 31

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1720510506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "GRANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "110641",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "67499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.