Fairview Specialty Services

Organization Active NPI Diagnostic Radiology Physician · Saint Paul, MN

NPI 1932059110 · NPPES record last updated Jan 29, 2026

Key facts

NPI
1932059110
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
FAIRVIEW SPECIALTY SERVICES
Practice address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone
(612) 672-6740
NPI assigned
Jan 29, 2026
Organization subpart
No

Authorized official

Name
Maureen V Ring
Title
Sys Dir, Gov Reim & Net Rel
Phone
(612) 672-6740

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 312

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 312

Medicare participation

Medicare fee-for-service enrollment
Enrolled (11 enrollments) in MN, WI, IL, MI, ME, CO, GA, FL, KY, MO, OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260529000323 MN Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 556 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20260604000533 WI Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudson, WI; River Falls, WI
O20260615003640 IL Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Morton Grove, IL; Lisle, IL
O20260615004004 MI Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Ann Arbor, MI; Champion, MI; Troy, MI
O20260617003867 ME Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: South Portland, ME
O20260618003384 CO Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Denver, CO; Evergreen, CO; Parker, CO
O20260619002210 GA Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Roswell, GA
O20260623002558 FL Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Sarasota, FL; Nokomis, FL; Longboat Key, FL; Key Biscayne, FL; Estero, FL
O20260623003714 KY Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Louisville, KY
O20260626001472 MO Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Saint Louis, MO
O20260626003633 OH Part B Supplier - Clinic/Group Practice 3072083286 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Columbus, OH; Aurora, OH

National Provider Directory

Tax ID family
Fairview Specialty Services (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X Yes

Addresses

Primary practice location

1700 University Ave W
Saint Paul, MN 55104-3727

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2026.

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1932059110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW SPECIALTY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SYS DIR, GOV REIM & NET REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Diagnostic Radiology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.