Individual provider Active NPI

Jonathan P Williams, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1003079112
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
57666 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A109484 CA
Diagnostic Radiology Physician 2085R0202X 57666 MN Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Mailing address

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone (651) 292-2000

Other practice location 1

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155

Other practice location 2

4801 W 81st St Ste 108
Bloomington, MN 55437-1111
Phone (952) 837-9700

Other practice location 3

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, ND3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140520002247 MN Practitioner - Diagnostic Radiology 1153569710 Reassigns benefits to 26 organizations
I20200414001520 WI Practitioner - Diagnostic Radiology 1153569710 Reassigns benefits to 5 organizations
I20220920002917 ND Practitioner - Diagnostic Radiology 1153569710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Tria Orthopaedic Center LLCGroup PAC ID 3173570561, 504 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Pembina County Memorial Hospital AssociationGroup PAC ID 4789643719, 142 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Practice addresses (Care Compare)

11850 Blackfoot St NW
Suite 180
Coon Rapids, MN 55433-2775
Phone (763) 795-1600

12000 Elm Creek Blvd N
Suite 310
Maple Grove, MN 55369-7090
Phone (763) 416-7888

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

155 Radio Dr
Woodbury, MN 55125-2619
Phone (952) 831-8742

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 425-6155

166 E 4TH St
Suite 100
St Paul, MN 55101-1421
Phone (651) 292-2000

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000

2450 Riverside Ave
Minneapolis, MN 55454-1450

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

411 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (651) 292-2013

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Hospital & facility affiliations

  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • Buffalo Hospital Hospital, Buffalo, MN, CCN 240076
  • St Croix Regional Medical Center Hospital, Saint Croix Falls, WI, CCN 521337
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Sep 4, 2019 Accepting new patients
Allina Health System CurrentSince Jul 1, 2014 Accepting new patients
Park Nicollet Clinic CurrentSince Jan 29, 2024 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jul 21, 2023 Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Nov 1, 2019 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 20, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 1, 2024 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
St Josephs Hospital and Health Center CurrentSince May 15, 2023 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Fairview Express Care CurrentSince Sep 4, 2019 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Allina Health System Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Aug 13, 2022 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Altru Health System CurrentSince Jul 23, 2020 Accepting new patients
Range Regional Health Services CurrentSince Feb 1, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Altru Health System CurrentSince Jul 23, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Fairview Express Care CurrentSince Sep 4, 2019 Accepting new patients
Range Regional Health Services CurrentSince Feb 1, 2025 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Allina Health System Current Accepting new patients
Tria Orthopaedic Center LLC Diagnostic Radiology CurrentSince Nov 1, 2019 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
Allina Health System CurrentSince Mar 1, 2020 Accepting new patients
Suburban Imaging, LLC CurrentSince Jul 1, 2014 Accepting new patients
Park Nicollet Clinic CurrentSince Jan 29, 2024 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince May 15, 2023 Accepting new patients
Fairview Clinics CurrentSince Aug 13, 2022 Accepting new patients
Allina Health System CurrentSince Jul 1, 2014 Accepting new patients
P R Health Corporation Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Madison Healthcare Services CurrentSince Apr 19, 2024 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jul 1, 2020 Accepting new patients
Altru Health System Current Accepting new patients
Ridgeview Medical Center CurrentSince Jan 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Towner County Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
The Duluth Clinic LTD CurrentSince Jul 21, 2023 Accepting new patients
St. Croix Regional Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Range Regional Health Services Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients

Locations (25 of 57)

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

Interoperability endpoints

  • FHIR API: https://api.ucarefhir.com/r4/

Organizations & group practices 59

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 59

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1003079112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 Springbrook Dr NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554335841",
            "country_code": "US",
            "telephone_number": "763-780-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 W 81st St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554371111",
            "country_code": "US",
            "telephone_number": "952-837-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022370",
            "country_code": "US",
            "telephone_number": "651-292-2000",
            "fax_number": "651-292-2136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A109484",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "57666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.