Active NPI
David E Tubman, M.D.
- Neuroradiology Physician
- Minneapolis, MN
National Provider Identifier
1851332399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 26104
- Practice address
- 1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420 - Phone
- (612) 573-2232
- Fax
- (612) 573-2274
- NPI assigned
- Jun 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 26104 | MN | Primary |
Addresses
Primary practice location
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Mailing address
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Phone (612) 573-2232
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0247015 | Other | MN | PREFERRED ONE |
| 100721 | Other | MN | UCARE |
| 23691 | Other | ND | BLUE CROSS BLUE SHIELD |
| 299G2TU | Other | MN | BLUE CROSS |
| 290367900 | Medicaid | MN | |
| 300085304 | Other | MN | RAILROAD MEDICARE MN |
| 23023 | Other | MN | AMERICA'S PPO |
| 31569000 | Medicaid | WI | |
| HP14582 | Other | MN | HEALTHPARTNERS |
| 1505370 | Medicaid | IA | |
| 18010TU | Other | MN | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consulting Radiologists, LTD | Neuroradiology | Past | Accepting new patients |
Organizations & group practices 1
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": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1851332399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 NICOLLET AVE",
"address_2": "SUITE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032420",
"telephone_number": "612-573-2232",
"fax_number": "612-573-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 NICOLLET AVE",
"address_2": "SUITE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032420",
"telephone_number": "612-573-2232",
"fax_number": "612-573-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBMAN",
"first_name": "DAVID",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MN",
"license": "26104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "0247015",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "100721",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "23691",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "299G2TU",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "290367900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE MN",
"identifier": "300085304",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "23023",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31569000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP14582",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505370",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "18010TU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.