Individual provider Active NPI

Michael M Haley, D.O.

  • Radiation Oncology Physician
  • St Louis Park, MN
National Provider Identifier
1962600346
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
54122 Issued in MN
Practice address
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone
(952) 993-6032
Fax
(952) 993-5512
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 54122 MN Primary

Addresses

Primary practice location

6500 Excelsior Blvd
St Louis Park, MN 55426-4702

Mailing address

7401 Metro Blvd Ste 210
Edina, MN 55439-3086

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
I20110817000470 MN Practitioner - Radiation Oncology 7517136021 Reassigns benefits to 1 organization
I20120309000388 WI Practitioner - Radiation Oncology 7517136021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneapolis Radiation Oncology PAGroup PAC ID 8527951094, 18 clinicians

Practice addresses (Care Compare)

215 Ivy St
Brainerd, MN 56401-3000
Phone (218) 828-7585

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 920-8477

6500 Excelsior Blvd
Saint Louis Park, MN 55426-4702
Phone (952) 993-6032

Hospital & facility affiliations

  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Radiation Oncology PA Radiation Oncology CurrentSince Aug 15, 2011 Accepting new patients
Mid-Minnesota Radiation Oncology, PA Radiation Oncology Past Accepting new patients

Locations

215 Ivy St
Brainerd, MN 56401
Phone (218) 828-7585

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

11850 Blackfoot St NW
Ste 150
Coon Rapids, MN 55433
Phone (763) 433-0221

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

7401 Metro Blvd
Ste 210
Minneapolis, MN 55439
Phone (952) 920-4915

3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887

640 Jackson St
Stop 11202E
Saint Paul, MN 55101

1475 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2031

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246

560 S Maple St
Ste 10
Waconia, MN 55387
Phone (952) 442-6000

501 Hospital Rd
New Richmond, WI 54017
Phone (715) 243-2950

Organizations & group practices 2

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 6

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1962600346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264702",
            "telephone_number": "952-993-6032",
            "fax_number": "952-993-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "54122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.