Individual provider Active NPI

Jiewen Li, DO

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1003435967
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
81780 Issued in MN
Practice address
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone
(612) 573-2200
Fax
(612) 573-2274
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 34.018252 OH
Diagnostic Radiology Physician 2085R0202X 81780 MN Primary

Addresses

Primary practice location

7595 Anagram Dr
Eden Prairie, MN 55344-7399

Mailing address

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Other practice location 1

125 1/2 S Avenue 60
Los Angeles, CA 90042-4217
Phone (216) 370-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA, MN, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20251209003241 OH Practitioner - Diagnostic Radiology 2961825906 Reassigns benefits to 1 organization
I20251231004203 CA Practitioner - Diagnostic Radiology 2961825906 Reassigns benefits to 4 organizations
I20260226001309 MN Practitioner - Diagnostic Radiology 2961825906 Reassigns benefits to 9 organizations
I20260304000492 ND Practitioner - Diagnostic Radiology 2961825906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio University, College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1247 N Alexandria Ave
Los Angeles, CA 90029-1403
Phone (612) 573-2200

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

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

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

913 E 26TH St
Minneapolis, MN 55404-4515
Phone (612) 863-3150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
23813CAMDClinical Social Worker
81780MNMDDiagnostic Radiology Physician
34.018252OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Mar 1, 2026 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Oct 16, 2025 Accepting new patients
Olmsted Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Mar 1, 2026 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
St. Francis Regional Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Allina Health System CurrentSince Mar 1, 2026 Accepting new patients
St Francis Regional Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Mercy Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Feb 1, 2026 Accepting new patients
Radiology Chartered Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Mercy Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Mercy Home Care CurrentSince Mar 1, 2026 Accepting new patients
Olmsted Medical Center CurrentSince Mar 1, 2026 Accepting new patients
Allina Health System CurrentSince Mar 1, 2026 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Mar 1, 2026 Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients
Radiologic Consultants, LTD Diagnostic Radiology Past Accepting new patients

Locations

330 Bay St
Unit 406
San Francisco, CA 94133

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

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

6525 France Ave S
Ste 110
Edina, MN 55435
Phone (952) 285-3720

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

913 E 26th St
Ste 402
Minneapolis, MN 55404
Phone (612) 845-6212

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

12554 Riata Vista Cir
Fl 1
Austin, TX 78727

Organizations & group practices 26

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 26

Hospital & facility affiliations 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1003435967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 1/2 S Avenue 60",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900424217",
            "country_code": "US",
            "telephone_number": "216-370-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JIEWEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.018252",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "81780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.