Active NPI
Michael T Madison, MD
- Neuroradiology Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 32412
- Practice address
- 295 Phalen Blvd
Saint Paul, MN 55130-2400 - Phone
- (651) 495-6200
- Fax
- (952) 883-9677
- NPI assigned
- Jan 10, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 32412 | MN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 32412 | MN | |
| Neuroradiology Physician | 2085N0700X | 32412 | MN | Primary |
Addresses
Primary practice location
295 Phalen Blvd
Saint Paul, MN 55130-2400
Mailing address
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113
Phone (651) 292-2000
Other practice location 1
250 Thompson St.
Saint Paul, MN 55102
Phone (651) 292-2000
Other practice location 2
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113
Phone (651) 292-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189307600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Minnesota Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-4786
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123
Hospital & facility affiliations
- Regions Hospital
- Park Nicollet Methodist Hospital
- Hudson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32412 | MN | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Towner County Medical Center Inc | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Pembina County Memorial Hospital Association | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Madison Healthcare Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| P R Health Corporation | Current | Accepting new patients | |
| Hutchinson Health | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Lac Qui Parle Clinic of Madison Inc | Current | Accepting new patients | |
| Consulting Radiologists, LTD | Neuroradiology | Past | Accepting new patients |
Locations (25 of 35)
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777
1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358
1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000
820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552
900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
2945 Hazelwood St
Ste 110
Maplewood, MN 55109
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
2355 Highway 36 W
Ste 100
Saint Paul, MN 55113
Phone (651) 292-0000
166 4th St E
Saint Paul, MN 55101
Phone (651) 292-2009
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
166 4th St E
Ste 100
Saint Paul, MN 55101
Interoperability endpoints
- mmadison91808@excellian.direct.allina.com
Organizations & group practices 37
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Critical Access Hospital
- Olivia, MN
- NPI 1629091871
-
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- Rural Health Clinic/Center
- Madison, MN
- NPI 1144266156
-
- Critical Access Hospital
- Madison, MN
- NPI 1942246848
-
- General Practice Physician
- River Falls, WI
- NPI 1407395247
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1306873872
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1629006457
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1679391122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1821077876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 HWY 36 W.",
"address_2": "STE. 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-292-2000"
},
{
"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": "651-495-6200",
"fax_number": "952-883-9677"
}
],
"practiceLocations": [
{
"address_1": "250 Thompson St.",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "55102",
"country_code": "US",
"telephone_number": "651-292-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2355 Hwy 36 W.",
"address_2": "Ste. 100",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "55113",
"country_code": "US",
"telephone_number": "651-292-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADISON",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "32412",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MN",
"license": "32412",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MN",
"license": "32412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189307600",
"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 Feb 4, 2025; 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.