OrganizationActive
Vascular & Interventional Physicians
NPI 1205632643 · Vascular & Interventional Radiology Physician · Minneapolis, MN
Provider details
- NPI number
- 1205632643
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Cumming, Medical Director(612) 743-9691
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4254 Queen Ave S
Minneapolis, MN 55410-1614
Phone: (612) 743-9691
Street-level locationGet directions
Mailing address
4254 Queen Ave S
Minneapolis, MN 55410-1614
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.