Midwest Radiology, PA
Organization Active NPI Diagnostic Radiology Physician · Roseville, MN
NPI 1952307175 · NPPES record last updated May 26, 2021
Key facts
- NPI
- 1952307175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 43 (MN)
- Legal business name
- MIDWEST RADIOLOGY, PA
- Practice address
- 2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3905 - Phone
- (651) 292-2000
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
Authorized official
- Name
- See Yang
- Title
- Credentialing Manager
- Phone
- (651) 292-2013
Practitioners 279
-
David Aamodt, MD
-
Mohamed M. Abdihalim, M.D.
-
Ahmad Al-Samaraee, M.D.
-
Siobhan Esther Alexander, M.D.
-
Azhar T. Ali, MBBS
-
Mark J. Allen, M.D.
-
Bilal Alturkmani, M.D.
-
Todd M Arsenault, MD
-
Kyle Arslanian, MD
-
David Asinger, M.D.
-
Amanjit Singh Baadh, M.D.
-
Andrew Thomas Babcock, M.D.
-
Brent A Baldwin, M.D.
-
Paul N Banks, DO
-
Joseph J Baraga, MD
-
Curt L Behrns, M.D.
-
Torrey Bergman, M.D.
-
Nathan D Block, MD
-
Jeffrey Rex Brace, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (31 enrollments) in MN, WI, ND, IA, CO, TN, AZ, NC, SC, UT, CA, WV, MO, MI, WA, RI, NV, OH, IN, DC, TX, KY, FL, PA, OR, GA, AL, IL, ME, MA, ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031114000105 | MN | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 214 practitioners Practice locations: Redwood Falls, MN; Maplewood, MN; Roseville, MN; Saint Paul, MN; Stillwater, MN; Willmar, MN; Woodbury, MN; Wyoming, MN… |
| O20040126000027 | WI | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 193 practitioners Practice locations: Baldwin, WI; Saint Croix Falls, WI; River Falls, WI; Osceola, WI; Hudson, WI; New Richmond, WI; Amery, WI |
| O20040803000350 | ND | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Bismarck, ND |
| O20051116001045 | IA | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 2 practitioners Practice locations: Cumming, IA; West Des Moines, IA |
| O20180808002733 | CO | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 4 practitioners Practice locations: Denver, CO; Evergreen, CO; Parker, CO |
| O20191231002331 | TN | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Franklin, TN |
| O20200107002099 | AZ | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 4 practitioners Practice locations: Cottonwood, AZ; Mesa, AZ; Peoria, AZ; Scottsdale, AZ |
| O20200219002091 | NC | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 2 practitioners Practice locations: Cornelius, NC; Concord, NC |
| O20200407002890 | SC | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Mount Pleasant, SC |
| O20211104001464 | UT | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandy, UT |
| O20220103000832 | CA | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 5 practitioners Practice locations: Cerritos, CA; Santa Barbara, CA; San Diego, CA; La Crescenta, CA; Cloverdale, CA |
| O20220126002653 | WV | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Falling Waters, WV |
| O20220127002776 | MO | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Louis, MO |
| O20220223002207 | MI | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 4 practitioners Practice locations: Ann Arbor, MI; Troy, MI; Champion, MI |
| O20220725003154 | WA | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 6 practitioners Practice locations: Seattle, WA; Mercer Island, WA; Kirkland, WA; Gig Harbor, WA |
| O20220831002452 | RI | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: West Greenwich, RI |
| O20221013000309 | NV | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Carson City, NV |
| O20221018001763 | OH | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 2 practitioners Practice locations: Aurora, OH; Columbus, OH |
| O20230508000759 | IN | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 3 practitioners Practice locations: Fishers, IN; Indianapolis, IN |
| O20230624000008 | DC | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Washington, DC |
| O20230724002061 | TX | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 3 practitioners Practice locations: Plano, TX; Richmond, TX; Parker, TX |
| O20240125001641 | KY | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, KY |
| O20240530000810 | FL | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 6 practitioners Practice locations: Sarasota, FL; Oviedo, FL; Nokomis, FL; Key Biscayne, FL; Longboat Key, FL; Estero, FL |
| O20240724000077 | PA | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Pittsburgh, PA |
| O20241220003545 | OR | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 2 practitioners Practice locations: Portland, OR |
| O20250131000491 | GA | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Roswell, GA |
| O20250321002127 | AL | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 2 practitioners Practice locations: Huntsville, AL; Mountain BRK, AL |
| O20250904002457 | IL | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 2 practitioners Practice locations: Lisle, IL; Morton Grove, IL |
| O20251110002813 | ME | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: South Portland, ME |
| O20260407004034 | MA | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Boston, MA |
| O20260513002078 | ID | Part B Supplier - Clinic/Group Practice | 4486568482 |
Receives reassigned benefits from 1 practitioner Practice locations: Idaho Falls, ID |
National Provider Directory
Locations
515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000
1185 Town Centre Dr
Ste 125
Eagan, MN 55123
Phone (651) 454-7224
400 Wabasha St N
Ste 260
Saint Paul, MN 55102
Phone (952) 977-3500
190 5th St E
Ste 250
Saint Paul, MN 55101
Phone (612) 228-9155
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
301 Mountain St E
Cavalier, ND 58220
Phone (701) 265-6307
2820 19th Ave S
Grand Forks, ND 58201
Phone (701) 772-1610
909 2nd St
Langdon, ND 58249
Phone (701) 256-6100
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | 43 | MN | Yes |
Addresses
Primary practice location
2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113-3905
Mailing address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone (651) 292-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435710800 | Medicaid | MN |
Other names
- St. Paul Radiology, PA
Other providers in Roseville, MN
- Peggye Mezile
- Michael J. Petersen, D.D.S., P.a.
- Michael Joyce DPM PA
- Midwest Health Solutions PA
- Midwest Med Management, Inc
- Midwest Stone Management
- Milestone Creations
- Brenda Jean Miller
- David Michael Miller
- Michaela Miller V
All providers in Roseville, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.