Active NPI
Stephen C Riendl, MD
- Cardiovascular Disease Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 27188
- Practice address
- 640 Jackson St
MC 11102H
St Paul, MN 55101-2502 - Phone
- (651) 254-3462
- Fax
- (651) 254-1603
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 27188 | MN | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 46063 | WI |
Addresses
Primary practice location
640 Jackson St
MC 11102H
St Paul, MN 55101-2502
Mailing address
8170 33Rd Ave S
Bloomington, MN 55425-4516
Phone (651) 254-4887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868595900 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27188 | MN | MD | Clinical Social Worker |
| 46063 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health Plan Inc | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Regions Hospital | Past | Accepting new patients |
Locations
1650 Beam Ave
Maplewood, MN 55109
Phone (651) 221-9051
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
640 Jackson St
#11102H
Saint Paul, MN 55101
Phone (651) 254-3462
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251
Organizations & group practices 12
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1326287988
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
dba MINNESOTA COMMUNITY CARE MBC - St. Paul
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1043187289
-
dba McDonough Homes Clinic
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1821149964
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1881887032
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
dba Turtle Lake Clinic
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
-
dba Amery Hospital & Clinic - Luck
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Rural Health Clinic/Center
- Balsam Lake, WI
- NPI 1013423219
-
- Critical Access Hospital
- Saint Croix Falls, WI
- NPI 1043240922
-
dba HealthPartners Specialty Center Woodbury
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1982670766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "651-254-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"address_2": "MC 11102H",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-3462",
"fax_number": "651-254-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIENDL",
"first_name": "STEPHEN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MN",
"license": "27188",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "46063",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "868595900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.