Active NPI
Martin W Schularick, M.D.
- Diagnostic Radiology Physician
- Minneapolis, MN
National Provider Identifier
1912947649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27477
- Practice address
- 1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420 - Phone
- (612) 573-2200
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27477 | 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) 573-2200
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1907907 | Other | MN | AMERICA'S PPO |
| P00186771 | Other | MN | RAILROAD MEDICARE MN |
| 22136 | Medicaid | IA | |
| 1603148 | Other | MN | MEDICA |
| 34611600 | Medicaid | WI | |
| 392184100 | Medicaid | MN | |
| 412L0SC | Other | MN | BLUE CROSS |
| 412L1SC | Other | MN | BLUE CROSS |
| HP48698 | Other | MN | HEALTHPARTNERS |
| 1603134 | Other | MN | MEDICA |
| 960371042695 | Other | MN | PREFERRED ONE |
| 132517 | Other | MN | UCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22236 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologists of North Iowa PC | Diagnostic Radiology | Past | Accepting new patients |
| Consulting Radiologists, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Radiologists of North Iowa PC | Past | Accepting new patients |
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.
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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": "1424217600000",
"number": "1912947649",
"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": "612-573-2200",
"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": "612-573-2200",
"fax_number": "612-573-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULARICK",
"first_name": "MARTIN",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "27477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "1907907",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE MN",
"identifier": "P00186771",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22136",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1603148",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34611600",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392184100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "412L0SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "412L1SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP48698",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1603134",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "960371042695",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "132517",
"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 Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.