FAIRVIEW SPECIALTY SERVICES
NPI 1174494827
Internal Medicine in Minneapolis, MN

Active since September 16, 2025CLIA Certified · 2 labs
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(855) 324-7843 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2026, Sep 16, 2025 (2 updates tracked since 2025).

About Fairview Specialty Services NPPES

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

FAIRVIEW SPECIALTY SERVICES (NPI 1174494827) is a healthcare organization registered as an internal medicine in Minneapolis, Minnesota and active in the NPI registry since September 2025. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Maureen Veronica-reger Ring, Sys Dir Govt Reimb & Netwk Rel, as its authorized official.

NPPES Registry Identity

NPI1174494827
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAIRVIEW SPECIALTY SERVICES
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727
Organization SubpartNo
Authorized OfficialMaureen Veronica-reger RingSys Dir Govt Reimb & Netwk Rel · (612) 672-6740
Enumeration DateSeptember 16, 2025
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1174494827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2450 RIVERSIDE AVE, Minneapolis, MN 55454

Secondary Practice Locations 4

Location 11875 Woodwinds Dr Ste Wl30Woodbury, MN 55125-2534 · Phone (651) 232-0228
Location 21875 Woodwinds Dr Ste W150Woodbury, MN 55125-2298 · Phone (651) 232-0228
Location 31925 Woodwinds DrWoodbury, MN 55125-4445 · Phone (651) 232-0228
Location 41875 Woodwinds Dr Ste 130Woodbury, MN 55125-4476 · Phone (651) 232-0228

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Clinicians Billing Medicare Through This Organization

2,371

Medicare enrollment records show 2,371 clinicians reassign Medicare billing to Fairview Specialty Services, which bills Medicare for the services they deliver. Of these, 241 practice at this address and 1,732 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 69

Nurse Practitioner264
Diagnostic Radiology261
Physical Therapist in Private Practice185
Pediatric Medicine112
Clinical Social Worker104
Internal Medicine89
Clinical Psychologist79
Cardiovascular Disease (Cardiology)72
61 other specialties1,205

Nearest to this location (20)

See all 2,371
General Surgery
NPI 1992749584
2450 RIVERSIDE AVE # AO-510
Minneapolis, MN 55454
(612) 626-8430
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1801141502
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 626-2755
✔ PECOSSame address
Psychiatry
NPI 1871857458
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-8700
✔ PECOS✔ Accepts MedicareSame address
Epileptologists
NPI 1346735750
2450 RIVERSIDE AVE EXPLORED CLINIC-12TH FLOOR
Minneapolis, MN 55454
(612) 273-0690
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1295341048
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(763) 913-6893
✔ PECOSSame address
Nephrology
NPI 1679065205
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-4202
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447814132
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-7700
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1548963614
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-8700
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1861613911
2450 RIVERSIDE AVENUE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1528447273
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1801134309
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487336343
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-5640
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1881923548
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-3000
Same address
Hematology/Oncology
NPI 1649664871
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 365-8100
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1912840133
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 365-1000
Same address
Internal Medicine
NPI 1851915557
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1578095139
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1720321409
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-4000
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1104480359
2450 RIVERSIDE AVE STE R200
Minneapolis, MN 55454
(612) 672-7100
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1477093953
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 273-9858
✔ PECOS✔ Accepts MedicareSame address
See all 2,371 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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 24D2114225

Fairview Specialty Services Woodbury Specialty Clinic · Woodbury, MN
Active · expires Jun 8, 2028
CLIA Number24D2114225
Laboratory TypePractitioner Other
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorSherif H. Tawfic
Laboratory Phone(651) 232-6802
Laboratory LocationFairview Specialty Services Woodbury Specialty Clinic1875 Woodwinds Drive, Woodbury, MN 55125
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 24D2130601

Fairview Specialty Services Woodbury Pediatric Clinic · Woodbury, MN
Active · expires May 11, 2027
CLIA Number24D2130601
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorCarol E. Johannes
Laboratory Phone(612) 365-6777
Laboratory LocationFairview Specialty Services Woodbury Pediatric Clinic9680 Tamarack Rd Suite 130, Woodbury, MN 55125
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Specialty Services's NPI number?

The NPI number for Fairview Specialty Services is 1174494827. It was assigned to this organization in the NPPES registry on September 16, 2025.

Where is Fairview Specialty Services located?

Fairview Specialty Services is located at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (855) 324-7843.

What is Fairview Specialty Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fairview Specialty Services enrolled in Medicare?

Yes. Fairview Specialty Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairview Specialty Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,371 clinicians in 69 Medicare specialties reassign their Medicare billing to Fairview Specialty Services. 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 Nurse Practitioner (264), Diagnostic Radiology (261) and Physical Therapist in Private Practice (185). Of these, 241 practice at this address and 1,732 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fairview Specialty Services hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fairview Specialty Services accept?

Health plans from HealthPartners and Sanford Health Plan list Fairview Specialty Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairview Specialty Services was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.