Individual provider Active NPI

Scott Robert Schultz, MD

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
National Provider Identifier
1821098872
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38328 Issued in MN
Practice address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone
(763) 559-2171
Fax
(763) 694-9000
NPI assigned
Jul 29, 2005
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 38326 MN
Nuclear Radiology Physician 2085N0904X 38326 MN
Diagnostic Radiology Physician 2085R0202X 38328 MN Primary
Vascular & Interventional Radiology Physician 2085R0204X 38326 MN

Addresses

Primary practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Mailing address

2955 Xenium LN N
#40
Plymouth, MN 55441-2666
Phone (763) 398-2203

Other identifiers 1

IdentifierTypeStateIssuer
777025100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040508000095 MN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6305732728 Reassigns benefits to 4 organizations
I20230228000431 WI Practitioner - Diagnostic Radiology 6305732728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Georgetown University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians
Minnesota Diagnostic Imaging Partners LLCGroup PAC ID 5890681209, 32 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
West Imaging LLCGroup PAC ID 7315833720, 29 clinicians

Practice addresses (Care Compare)

1013 Hart Blvd
Monticello, MN 55362-8575
Phone (763) 271-2288

15450 Hwy 7
Minnetonka, MN 55345-3522
Phone (763) 581-8900

15450 Hwy 7 100
Minnetonka, MN 55345-3522
Phone (763) 581-8900

1700 Hwy 25 N
Buffalo, MN 55313-1930
Phone (763) 398-8710

2800 Campus Dr
Plymouth, MN 55441-2669
Phone (763) 398-6390

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

480 Osborne Rd NE
Fridley, MN 55432-2773
Phone (763) 581-0600

600 County Rd D W
New Brighton, MN 55112-3519

800 Freeport Ave NW
Suite 100
Elk River, MN 55330-2723
Phone (763) 581-5200

8100 42ND Ave N
New Hope, MN 55427-1107
Phone (763) 581-5700

9855 Hospital Dr
Suite 102
Maple Grove, MN 55369-4648
Phone (763) 581-5800

9855 Hospital Dr
Suite 150
Maple Grove, MN 55369-4776
Phone (763) 398-6341

9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38328MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2004 Accepting new patients
Hudson Imaging Partners LLC Diagnostic Radiology CurrentSince Dec 7, 2022 Accepting new patients
North Memorial Health Care CurrentSince Nov 1, 2014 Accepting new patients
North Memorial Health Care Current Accepting new patients
Minneapolis Radiology Associates, LTD. Body Imaging CurrentSince Oct 1, 1994 Accepting new patients
Minnesota Diagnostic Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients
Minnesota Vascular Surgery Center PastSince Sep 1, 2025 Accepting new patients

Locations

11855 Ulysses St NE
Ste 120
Blaine, MN 55434
Phone (763) 785-8500

9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700

2955 Xenium Ln N
Ste 40
Plymouth, MN 55441
Phone (763) 398-2203

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

600 County Road D W
Ste 2
Saint Paul, MN 55112
Phone (763) 432-4300

2651 Hillcrest Dr
Ste 103
Hudson, WI 54016
Phone (763) 559-2171

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1821098872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 XENIUM LN N",
            "address_2": "#40",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412666",
            "telephone_number": "763-398-2203",
            "fax_number": "763-694-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "763-559-2171",
            "fax_number": "763-694-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MN",
            "license": "38326",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MN",
            "license": "38326",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "38328",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "38326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777025100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

Verify at the official NPI Registry.