Individual provider Active NPI

Christopher S. Stampe, MD

  • Vascular & Interventional Radiology Physician
  • Plymouth, MN
National Provider Identifier
1922363084
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
63901 Issued in MN
Practice address
2800 Campus Dr Ste 20
Plymouth, MN 55441
Phone
(763) 398-4400
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 63901 MN Primary
Diagnostic Radiology Physician 2085R0202X 63901 MN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2800 Campus Dr Ste 20
Plymouth, MN 55441

Mailing address

2955 Xenium LN N Ste 40
Plymouth, MN 55441-2668
Phone (763) 398-2203

Other practice location 1

420 Delaware St SE
MMC 292
Minneapolis, MN 55455-0341
Phone (612) 626-3345

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
I20180629001855 MN Practitioner - Interventional Radiology 6608012141 Reassigns benefits to 4 organizations
I20230316001625 WI Practitioner - Interventional Radiology 6608012141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Sanford School of Medicine of University of South Dakota, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Imaging Partners LLCGroup PAC ID 1557734225, 29 clinicians
Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians
West Imaging LLCGroup PAC ID 7315833720, 29 clinicians
Minnesota Diagnostic Imaging Partners LLCGroup PAC ID 5890681209, 32 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

2651 Hillcrest Dr
Suite 103
Hudson, WI 54016-9919
Phone (763) 559-2171

2800 Campus Dr
Suite 20
Plymouth, MN 55441-2669
Phone (763) 398-6363

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63901MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care CurrentSince Jul 1, 2018 Accepting new patients
Minnesota Diagnostic Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Minneapolis Radiology Associates, LTD. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Hudson Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients
North Memorial Health Care CurrentSince Jul 1, 2018 Accepting new patients
West Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
North Memorial Health Care Current Accepting new patients

Locations

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341

2955 Xenium Ln N
Ste 40
Plymouth, MN 55441
Phone (763) 398-2203

2800 Campus Dr
Ste 30
Plymouth, MN 55441
Phone (763) 398-4000

2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

2651 Hillcrest Dr
Ste 103
Hudson, WI 54016
Phone (763) 559-2171

Interoperability endpoints

  • Direct secure messaging: cstampe411204@direct.centracare.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1922363084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 XENIUM LN N STE 40",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412668",
            "telephone_number": "763-398-2203",
            "fax_number": "763-398-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR STE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-398-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Delaware St SE",
            "address_2": "MMC 292",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550341",
            "country_code": "US",
            "telephone_number": "612-626-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMPE",
        "first_name": "CHRISTOPHER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "63901",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "63901",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.