NPIMap

Individual provider Active NPI

Steven Paul Hanovich, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Fridley, MN
National Provider Identifier
1811099419
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
40709 Issued in MN
Practice address
550 Osborne Rd NE
Unity Hospital Physicians Lounge
Fridley, MN 55432-2718
Phone
(763) 208-5182
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 40709 MN Primary

Addresses

Primary practice location

550 Osborne Rd NE
Unity Hospital Physicians Lounge
Fridley, MN 55432-2718

Mailing address

3231 Flag Ave S
St Louis Park, MN 55426-3718
Phone (952) 908-1124

Other identifiers 1

IdentifierTypeStateIssuer
882940300MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shanovich83968@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041203000598 MN Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Hospitalist 9739145582 Reassigns benefits to 4 organizations
I20170626000746 IL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9739145582 Reassigns benefits to 1 organization
I20211222001890 ND Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9739145582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Hospitalist
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1200 6TH Ave N
Saint Cloud, MN 56303-2735

1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

1406 6TH Ave N
St Cloud, MN 56303-1901

1406 6TH Ave No
St Cloud, MN 56303-1901

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

Hospital & facility affiliations

  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Apr 18, 2017 Accepting new patients
Innovis Health LLC CurrentSince Jan 5, 2022 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Innovis Health LLC CurrentSince Jan 5, 2022 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Centracare Clinic CurrentSince Oct 1, 2020 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Apr 18, 2017 Accepting new patients
Allina Health System CurrentSince Jan 6, 2023 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Rockford Health Physicians CurrentSince Jan 1, 2018 Accepting new patients
Allina Health System Current Accepting new patients
Centracare Clinic Current Accepting new patients
Columbia Park Medical Group, PA Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

Interoperability endpoints

  • Direct secure messaging: shanovich83968@excellian.direct.allina.com
  • Direct secure messaging: shanovich536818@direct.centracare.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1811099419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 FLAG AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263718",
            "telephone_number": "952-908-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OSBORNE RD NE",
            "address_2": "UNITY HOSPITAL PHYSICIANS LOUNGE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322718",
            "telephone_number": "763-208-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOVICH",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "40709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882940300",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanovich83968@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "550 Osborne Rd NE",
            "address_2": "Unity Hospital Physicians Lounge",
            "city": "Fridley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554322718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.