Active NPI
Andrew E Cooperman, MD
- Diagnostic Radiology Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 39949
- Practice address
- 5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416 - Phone
- (952) 541-1840
- Fax
- (952) 513-6880
- NPI assigned
- Mar 1, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 39949 | MN | Primary |
Addresses
Primary practice location
5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Mailing address
PO Box 1450 # Nw6035
Minneapolis, MN 55485-0001
Phone (952) 542-8553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183520300 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of Ny Upstate Medical University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10438 185TH St W
Suite 100
Lakeville, MN 55044-5307
Phone (952) 345-3878
155 Dehler Dr
Sartell, MN 56377-4407
Phone (320) 251-0609
15700 37TH Ave N
Suite 100
Plymouth, MN 55446-3663
Phone (952) 541-1840
1790 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 294-4639
1901 Connecticut Ave S
Suite 200
Sartell, MN 56377-2554
Phone (320) 251-0609
2270 Ford Pkwy
Suite 202
Saint Paul, MN 55116-3412
Phone (651) 455-5500
2305 108TH LN NE
Blaine, MN 55449-5222
Phone (763) 278-4429
2700 Vikings Cir
Suite 110
Eagan, MN 55121-1002
Phone (651) 306-4567
3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000
5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840
6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840
675 E Nicollet Blvd
Suite 150
Burnsville, MN 55337-6742
Phone (952) 898-6627
7123 France Ave S
Edina, MN 55435-4304
Phone (952) 345-3838
775 Prairie Ctr Dr
Suite 260
Eden Prairie, MN 55344-7334
Phone (952) 294-8222
9040 Quaday Ave NE
Suite 100
Otsego, MN 55330-6657
Phone (763) 433-2033
9630 Grove Cir N
Suite 100
Maple Grove, MN 55369-3477
Phone (763) 416-9916
Hospital & facility affiliations
- Sioux Falls Specialty Hospital
- Alomere Health
- Northfield Hospital
- Avera McKennan Hospital & University Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Cdi Twin Cities ASC LLC | Current | Accepting new patients | |
| Pacific Imaging PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1000 W Broadway St
Ste 140
Oviedo, FL 32765
Phone (407) 359-6001
1295 Orange Ave
Winter Park, FL 32789
Phone (407) 628-5051
964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051
5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338
33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226
7308 Bridgeport Way W
Ste 101
Lakewood, WA 98499
Phone (253) 682-1666
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- St Louis Park, MN
- NPI 1659348092
-
- Ambulatory Surgical Clinic/Center
- St Louis Park, MN
- NPI 1245207687
-
- Diagnostic Radiology Physician
- Mountlake Terrace, WA
- NPI 1326092818
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1861469645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1450 # NW6035",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554850001",
"telephone_number": "952-542-8553",
"fax_number": "952-513-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"address_2": "STE 190",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "952-541-1840",
"fax_number": "952-513-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERMAN",
"first_name": "ANDREW",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "39949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183520300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.