Individual provider Active NPI

Michael T Madison, MD

  • Neuroradiology Physician
  • Saint Paul, MN
National Provider Identifier
1821077876
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
32412 Issued in MN
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

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
189307600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, ND3 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
I20080130000624 MN Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5890609580 Reassigns benefits to 15 organizations
I20160617000502 WI Practitioner - Diagnostic Radiology 5890609580 Reassigns benefits to 3 organizations
I20230712003198 ND Practitioner - Diagnostic Radiology 5890609580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Minnesota Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

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 Hospital, Saint Paul, MN, CCN 240106
  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053
  • Hudson Hospital Hospital, Hudson, WI, CCN 521335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32412MNMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Apr 28, 2021 Accepting new patients
Allina Health System CurrentSince Sep 3, 2013 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Towner County Medical Center Inc CurrentSince Jul 9, 2023 Accepting new patients
Group Health, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Sep 4, 2019 Accepting new patients
Fairview Express Care CurrentSince Sep 4, 2019 Accepting new patients
Group Health, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Aug 4, 2022 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jun 3, 2023 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Allina Health System Current Accepting new patients
Altru Health System CurrentSince Jan 26, 2023 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Sep 4, 2019 Accepting new patients
Madison Healthcare Services CurrentSince Apr 19, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics CurrentSince Aug 4, 2022 Accepting new patients
P R Health Corporation Current Accepting new patients
Hutchinson Health CurrentSince Jan 1, 2022 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Fairview Health Services CurrentSince Sep 4, 2019 Accepting new patients
Allina Health System CurrentSince Jan 10, 2023 Accepting new patients
Allina Health System Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Jul 9, 2023 Accepting new patients
Healthpartners RC Current Accepting new patients
Fairview Express Care Current Accepting new patients
Allina Health System CurrentSince Jan 1, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 20, 2023 Accepting new patients
Consulting Radiologists, LTD Neuroradiology PastSince Mar 1, 2019 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

  • Direct secure messaging: 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.

View all 37

Hospital & facility affiliations 15

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

View all 15

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

Verify at the official NPI Registry.