Individual provider Active NPI

Karl Koivisto, MD

  • Emergency Medicine Physician
  • Saint Cloud, MN
National Provider Identifier
1962931451
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67132 Issued in MN
Practice address
1900 Centracare Cir Ste 2650
Saint Cloud, MN 56303-5000
Phone
(320) 253-2663
NPI assigned
Jun 8, 2017
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X 67132 MN
Emergency Medicine Physician 207P00000X 67132 MN Primary

Addresses

Primary practice location

1900 Centracare Cir Ste 2650
Saint Cloud, MN 56303-5000

Mailing address

1900 Centracare Cir Ste 2650
Saint Cloud, MN 56303-5000

Other practice location 1

911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkoivisto693967@direct.med.utah.edu Direct University of Utah
Direct Messaging Address karl.o.koivisto@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, UT2 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
I20200806001118 MN Practitioner - Emergency Medicine 5496023459 Reassigns benefits to 12 organizations
I20240525000425 UT Practitioner - Emergency Medicine 5496023459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-3000

720 Washington Ave SE
Minneapolis, MN 55414-2924
Phone (612) 884-0649

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67132MNMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jun 1, 2025 Accepting new patients
Fairview Health Services Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince May 1, 2024 Accepting new patients
Winona Health Services CurrentSince Dec 20, 2024 Accepting new patients
Range Regional Health Services CurrentSince Feb 28, 2021 Accepting new patients
Emergency Physicians Professional Association CurrentSince Sep 14, 2020 Accepting new patients
Riverview Healthcare Association CurrentSince Dec 30, 2024 Accepting new patients
University of Minnesota Physicians CurrentSince Jun 1, 2025 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
University of Utah Adult Services CurrentSince May 1, 2024 Accepting new patients
Riverview Healthcare Association CurrentSince Dec 30, 2024 Accepting new patients
Range Regional Health Services Current Accepting new patients
Fairview Express Care CurrentSince Jun 1, 2025 Accepting new patients
Fairview Health Services CurrentSince May 26, 2022 Accepting new patients
Range Regional Health Services CurrentSince Feb 28, 2021 Accepting new patients
Emergency Physicians Professional Association CurrentSince Sep 14, 2020 Accepting new patients
Ely-Bloomenson Community Hospital Current Accepting new patients
Emergency Physicians Professional Association Emergency Medicine Current Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Fairview Express Care CurrentSince Jun 1, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Jun 1, 2025 Accepting new patients
Fairview Express Care Past Accepting new patients

Locations

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

328 W Conan St
Ely, MN 55731
Phone (218) 365-3271

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Ste 2650
Saint Cloud, MN 56303
Phone (320) 253-2663

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

127 S 500 E
Ste 400
Salt Lake City, UT 84102

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: karl.o.koivisto@upmcdirect.com
  • Direct secure messaging: kkoivisto535871@direct.centracare.com
  • Direct secure messaging: kkoivisto621133@fairview.direct-ci.com
  • Direct secure messaging: kkoivisto693967@direct.med.utah.edu

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 28

Hospital & facility affiliations 12

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1962931451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 2650",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 2650",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-253-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Northland Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "MN",
            "postal_code": "553712172",
            "country_code": "US",
            "telephone_number": "763-389-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOIVISTO",
        "first_name": "KARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MN",
            "license": "67132",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "67132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkoivisto693967@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karl.o.koivisto@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.