Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad P Soupir, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1104875301

Chad P Soupir, MD is a Pathology in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2002, 24 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Minnesota.

Years since qualifying
24
Trained at
University of Minnesota Medical School
Licensed in
MA, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6500 Excelsior Blvd
Minneapolis, MN 55426-4702
Phone: (952) 993-5290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 51285 (MN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 224566 (MA)

Record details

NPI number1104875301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESOctober 21, 2008
Mailing addressPo Box 385760, Bloomington, MN 55438-5760

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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