Individual provider Active NPI

Maria Starchook-Moore, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • St Louis Park, MN
National Provider Identifier
1821364290
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
59815 Issued in MN
Practice address
1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476
Phone
(952) 541-2500
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 59815 WI
Student in an Organized Health Care Education/Training Program 390200000X
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 59815 MN Primary

Addresses

Primary practice location

1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5200

Other practice location 1

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-2810

Other practice location 2

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-2810

Other practice location 3

7505 Country Club Dr
Golden Valley, MN 55427-4501
Phone (877) 866-7123

Other practice location 4

205 Wabasha St S
Saint Paul, MN 55107-1805
Phone (952) 967-5584

Other practice location 5

2001 Blaisdell Ave
Minneapolis, MN 55404-2414
Phone (952) 993-8000

Other practice location 6

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (651) 439-1234

Other practice location 7

403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700

Other practice location 8

1661 Saint Anthony Ave Fl 2
Saint Paul, MN 55104-7633
Phone (651) 968-5300

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
I20171103000923 MN Practitioner - Preventive MedicinePractitioner - Family PracticePractitioner - Peripheral Vascular Disease 2860797024 Reassigns benefits to 2 organizations
I20250505002648 WI Practitioner - Preventive Medicine 2860797024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59815WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. Family Medicine CurrentSince May 1, 2025 Accepting new patients
Group Health, Inc. CurrentSince May 1, 2025 Accepting new patients
Group Health, Inc. CurrentSince May 1, 2025 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Oct 10, 2017 Accepting new patients
Ilbnc, P.a. PastSince Apr 1, 2020 Accepting new patients
Summit Orthopedics, LTD. PastSince Apr 1, 2020 Accepting new patients

Locations

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

7505 Country Club Dr
Minneapolis, MN 55427
Phone (763) 450-6900

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

8400 Normandale Lake Blvd
Ste 920
Minneapolis, MN 55437
Phone (612) 735-4509

205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100

1665 Utica Ave S
Ste 100
St Louis Park, MN 55416
Phone (952) 541-2500

1500 Curve Crest Blvd W
Stillwater, MN 55082

403 Stageline Rd
Hudson, WI 54016
Phone (715) 386-8880

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1821364290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254925",
            "telephone_number": "651-968-5200",
            "fax_number": "651-730-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 UTICA AVE S STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163476",
            "telephone_number": "952-541-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-2810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-2810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274501",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Wabasha St S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551071805",
            "country_code": "US",
            "telephone_number": "952-967-5584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Blaisdell Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554042414",
            "country_code": "US",
            "telephone_number": "952-993-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Curve Crest Blvd W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826040",
            "country_code": "US",
            "telephone_number": "651-439-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Saint Anthony Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551047633",
            "country_code": "US",
            "telephone_number": "651-968-5300",
            "fax_number": "651-730-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARCHOOK-MOORE",
        "first_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "59815",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MN",
            "license": "59815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.