Individual provider Active NPI

Alex Grunenwald, D.O

  • Emergency Medicine Physician
  • Bloomington, MN
National Provider Identifier
1992243984
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
72447 Issued in WI
Practice address
4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435
Phone
(952) 767-4574
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 72447 WI Primary

Addresses

Primary practice location

4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435

Mailing address

4300 Market Pte Dr Ste 100
Bloomington, MN 55435-5435
Phone (952) 767-4574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, OK, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200709000645 WI Practitioner - Emergency Medicine 0042580045 Reassigns benefits to 9 organizations
I20250610000556 MN Practitioner - Emergency Medicine 0042580045 Reassigns benefits to 1 organization
I20260219004581 OK Practitioner - Emergency Medicine 0042580045 Reassigns benefits to 1 organization
I20260402003588 IN Practitioner - Emergency Medicine 0042580045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians
Emergency Physicians Professional AssociationGroup PAC ID 9537072657, 273 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

4300 Marketpointe Dr
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760

Hospital & facility affiliations

  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • Ladd Memorial Hospital Hospital, Osceola, WI, CCN 521318
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72447WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Feb 19, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 19, 2026 Accepting new patients
The Howard Young Medical Center, Inc. Emergency Medicine CurrentSince Feb 19, 2026 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Mar 1, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Jun 19, 2020 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Emergency Physicians Professional Association Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 19, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Jun 19, 2020 Accepting new patients
Emergency Physicians Professional Association CurrentSince Aug 1, 2025 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Jan 13, 2026 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Feb 19, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Current Accepting new patients
Aspirus Eagle River Hospital, Inc. Emergency Medicine CurrentSince Feb 19, 2026 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Feb 19, 2026 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Mar 1, 2026 Accepting new patients
Ladd Memorial Hospital Past Accepting new patients

Locations

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

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

310 W Main St
Sparta, WI 54656
Phone (608) 269-1700

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1992243984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARKET PTE DR STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-767-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARKET PTE DR STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-767-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNENWALD",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "72447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.