MAX DOUGLAS FULLER MD
NPI 1609373612
Internal Medicine in Minneapolis, MN

Q: What is Max Fuller's NPI number?

The NPI number for Max Fuller is 1609373612. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Q: What is Max Fuller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Max Fuller was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 07, 2018PECOS EnrolledAccepts Medicare Assignment

701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-6963(612) 904-4261 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Max Douglas Fuller Md NPPES

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

MAX DOUGLAS FULLER MD (NPI 1609373612) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (68633) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609373612

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMAX DOUGLAS FULLERCredential: MD

Location Address701 PARK AVEMinneapolis, MN 55415-1623

Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000

Phone(612) 873-6963

Fax(612) 904-4261

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 7, 2018

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1609373612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 68633

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

701 PARK AVE, Minneapolis, MN 55415

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Max Douglas Fuller Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335490838

PECOS Enrollment IDI20211015002099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240001

Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County

Emergency services Birthing friendly

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240004

Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$57.15 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL CHARLES HARLOW MD

Psychiatry & Neurology (Psychiatry)