IndividualActive
Kevin Gustafson, M.D.
NPI 1891745865 · Diagnostic Radiology Physician · Saint Paul, MN
Provider details
- NPI number
- 1891745865
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 26344 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
250 Thompson St
Saint Paul, MN 55102-2370
Phone: (651) 292-2000
Fax: (651) 292-2136
Street-level locationGet directions
Mailing address
4801 W 81st St
Bloomington, MN 55437-1111
Additional practice locations (2)
- 4801 W 81st StSuite 108Bloomington, MN 55437-1111Phone: (952) 837-9700Fax: (952) 837-9701
- 9055 Springbrook Dr NwCoon Rapids, MN 55433-5841Phone: (763) 780-9155
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2019-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.