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FAIRVIEW CLINICS
NPI 1124652557
Clinic/Center in Saint Paul, MN

Active since February 25, 2020CLIA 24D0399238 · Accreditation
1414 MARYLAND AVE E, SAINT PAUL, MN 55106(651) 772-3461 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 27, 2025, Feb 25, 2020 (2 updates tracked since 2020).

About Fairview Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRVIEW CLINICS (NPI 1124652557), doing business as M Health Fairview Clinic Phalen Village, is a healthcare organization registered as a clinic/center in Saint Paul, Minnesota and active in the NPI registry since February 2020. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Maureen V Ring, Sys Dir Govt Reimb & Netwk Rel, as its authorized official.

NPPES Registry Identity

NPI1124652557
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFAIRVIEW CLINICS
Location Address1414 MARYLAND AVE ESaint Paul, MN 55106-2824
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (612) 672-6740 · Fax (612) 884-3592
Phone(651) 772-3461
Organization SubpartNo
Authorized OfficialMaureen V RingSys Dir Govt Reimb & Netwk Rel · (612) 672-6740
Enumeration DateFebruary 25, 2020
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1124652557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1414 MARYLAND AVE E, Saint Paul, MN 55106
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Other Names 1

Doing Business AsM Health Fairview Clinic Phalen Village

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairview Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,297

Medicare enrollment records show 2,297 clinicians reassign Medicare billing to Fairview Clinics, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 1,109 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 67

Family Practice439
Nurse Practitioner400
Internal Medicine296
Diagnostic Radiology270
Pediatric Medicine140
Obstetrics/Gynecology77
Cardiovascular Disease (Cardiology)67
Certified Nurse Midwife (CNM)51
59 other specialties557

Nearest to this location (20)

See all 2,297
Kathryn Brown, M.D.
Family Practice
NPI 1730469164
1414 MARYLAND AVE E
Saint Paul, MN 55106
(763) 442-4290
✔ PECOS✔ Accepts MedicareSame address
Maya Highness, M.D.
Family Practice
NPI 1366730509
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts MedicareSame address
Cameron Holmes, MD
Family Practice
NPI 1346937406
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 793-5613
✔ PECOSSame address
Rahul Kapur, MD
Sports Medicine
NPI 1295931962
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts MedicareSame address
Anne Keenan, M.D.
Family Practice
NPI 1982017406
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 793-5613
✔ PECOS✔ Accepts MedicareSame address
Luke Leblanc, M.D.
Family Practice
NPI 1346771326
1414 MARYLAND AVE E
Saint Paul, MN 55106
(320) 630-4584
✔ PECOS✔ Accepts MedicareSame address
Kimberly Lundeen, MD
Family Practice
NPI 1437731361
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts MedicareSame address
Benjamin Rosenstein, MD
Family Practice
NPI 1346771920
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts MedicareSame address
Craig Svendsen, MD
Family Practice
NPI 1427016229
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 772-3461
✔ PECOSSame address
Samuel Olson, MD
Family Practice
NPI 1093402125
1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts MedicareSame address
Angela Smithson, MD
Family Practice
NPI 1093721771
1414 MARYLAND AVE E UMPHYSICIANS PHALEN VILLAGE CLINIC
St. Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts MedicareSame address
Kirby Clark, M.D.
Family Practice
NPI 1447288311
UFP PHALEN VILLAGE CLINIC 1414 MARYLAND AVENUE EAST
Saint Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts MedicareSame address
James Hougas, M.D.
Family Practice
NPI 1780812651
UMP PHALEN VILLAGE CLINIC 1414 MARYLAND AVE E
Saint Paul, MN 55106
(651) 772-3461
✔ PECOS✔ Accepts Medicare1.4 mi
Emily Rumsey, CNM
Certified Nurse Midwife (CNM)
NPI 1043670144
895 7TH ST E
Saint Paul, MN 55106
(651) 602-7500
✔ PECOS✔ Accepts Medicare1.4 mi
Megan Collins, NP
Nurse Practitioner
NPI 1376211128
770 6TH ST E
Saint Paul, MN 55106
(608) 556-5711
✔ PECOS✔ Accepts Medicare1.8 mi
Tara Thomas, MD
Pediatric Medicine
NPI 1427252329
2165 WHITE BEAR AVE N
Maplewood, MN 55109
(651) 523-9800
✔ PECOS2.2 mi
Haitham Hussein, MD, MSC
Neurology
NPI 1851583579
401 PHALEN BLVD MAIL STOP 41104C HEALTHPARTNERS SPECIALTY CENTER 401
Saint Paul, MN 55130
(651) 254-7900
✔ PECOS✔ Accepts Medicare2.3 mi
Aiham Jbeli, M.D.
Pulmonary Disease
NPI 1912326950
401 PHALEN BLVD
Saint Paul, MN 55130
(952) 967-7616
✔ PECOS✔ Accepts Medicare2.3 mi
Jeffrey Lassig, MD
Diagnostic Radiology
NPI 1558459032
295 PHALEN BLVD
Saint Paul, MN 55130
(651) 495-6200
✔ PECOS✔ Accepts Medicare2.5 mi
Michael Madison, MD
Interventional Radiology
NPI 1821077876
295 PHALEN BLVD
Saint Paul, MN 55130
(651) 495-6200
✔ PECOS✔ Accepts Medicare2.5 mi
See all 2,297 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 24D0399238

Fairview Clinics St Paul Phalen Village Clinic · Saint Paul, MN
Active · expires Dec 22, 2027
CLIA Number24D0399238
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorAbigail M. Schneider
Laboratory Phone(651) 772-3461
Laboratory LocationFairview Clinics St Paul Phalen Village Clinic1414 Maryland Ave E, Saint Paul, MN 55106
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairview Clinics's NPI number?

The NPI number for Fairview Clinics is 1124652557. It was assigned to this organization in the NPPES registry on February 25, 2020. The provider is doing business as M Health Fairview Clinic Phalen Village.

Where is Fairview Clinics located?

Fairview Clinics is located at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.

What is Fairview Clinics's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Fairview Clinics enrolled in Medicare?

Yes. Fairview Clinics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairview Clinics?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,297 clinicians in 67 Medicare specialties reassign their Medicare billing to Fairview Clinics. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (439), Nurse Practitioner (400) and Internal Medicine (296). Of these, 12 practice at this address and 1,109 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fairview Clinics hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0399238) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairview Clinics was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.