Individual provider Active NPI

Michael P McGrail Jr., MD

  • Family Medicine Physician
  • St Paul, MN
National Provider Identifier
1831166867
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37035 Issued in MN
Practice address
640 Jackson Street
MC 11503N
St Paul, MN 55101-2502
Phone
(651) 254-3313
Fax
(651) 254-3874
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 37035 MN
Family Medicine Physician 207Q00000X 37035 MN Primary

Addresses

Primary practice location

640 Jackson Street
MC 11503N
St Paul, MN 55101-2502

Mailing address

7801 E Bush Lake Rd
Ste 400
Minneapolis, MN 55439-3113
Phone (952) 479-4261

Other practice location 1

7801 E Bush Lake Rd
Ste 400
Bloomington, MN 55439-3113
Phone (952) 479-4261

Other identifiers 1

IdentifierTypeStateIssuer
239215100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37035MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Professionals, PLLC Family Medicine CurrentSince May 3, 2021 Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Group Health, Inc. Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Group Health, Inc. CurrentSince Jan 10, 2022 Accepting new patients
Group Health, Inc. Current Accepting new patients
Park Nicollet Clinic Family Medicine CurrentSince Jan 10, 2022 Accepting new patients

Locations

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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

7801 E Bush Lake Rd
Ste 400
Minneapolis, MN 55439
Phone (952) 283-3162

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

3131 France Ave N
Robbinsdale, MN 55422
Phone (763) 588-0771

640 Jackson St
#11503N
Saint Paul, MN 55101
Phone (651) 254-1025

404 Highway 96 W
Shoreview, MN 55126
Phone (651) 482-8080

Organizations & group practices 6

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1831166867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD",
            "address_2": "STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393113",
            "telephone_number": "952-479-4261",
            "fax_number": "866-691-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON STREET",
            "address_2": "MC 11503N",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3313",
            "fax_number": "651-254-3874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7801 E BUSH LAKE RD",
            "address_2": "STE 400",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554393113",
            "country_code": "US",
            "telephone_number": "952-479-4261",
            "fax_number": "866-691-8423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRAIL",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "37035",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "37035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239215100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

Verify at the official NPI Registry.