KEVIN GUSTAFSON M.D. – NPI #1891745865
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

KEVIN GUSTAFSON is a radiologist located in SAINT PAUL, MN. NPPES has assigned the NPI number 1891745865 to KEVIN GUSTAFSON on May 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Apr 25, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN GUSTAFSON below.

NPI Profile for
KEVIN GUSTAFSON

NPI Number
1891745865
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN GUSTAFSON
Credentials
M.D.
Primary location
250 THOMPSON ST
SAINT PAUL, MN 55102-2370
Phone: (651) 292-2000 Fax: (651) 292-2136
2 Other location(s):
4801 W 81st St
Suite 108
Bloomington, MN 55437-1111
Phone: (952) 837-9700
Fax: (952) 837-9701
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone: (763) 780-9155
Mailing address
4801 W 81ST ST
SUITE 108
BLOOMINGTON, MN 55437-1111
Phone: (952) 837-9700 Fax: (952) 837-9701
Sole Proprietor
No
Updated
Identifiers

Identifiers for KEVIN GUSTAFSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN425272100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MN 26344

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.