Individual provider Active NPI

Samuel Jang, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1023515160
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
66594 Issued in MN
Practice address
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Apr 6, 2018
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 85203-20 WI
Diagnostic Radiology Physician 2085R0202X 66594 MN Primary
Diagnostic Radiology Physician 2085R0202X 22188 ND

Addresses

Primary practice location

2355 Hwy 36 W
Ste. 100
Roseville, MN 55113-3905

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MA, WI, 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
I20200521002748 MN Practitioner - Diagnostic Radiology 4183975691 Reassigns benefits to 24 organizations
I20240709001507 MA Practitioner - Diagnostic Radiology 4183975691 Reassigns benefits to 2 organizations
I20250717001059 WI Practitioner - Diagnostic Radiology 4183975691 Reassigns benefits to 2 organizations
I20250918001166 ND Practitioner - Diagnostic Radiology 4183975691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 87 NPIs, 3,844 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

1155 County Rd E E
Vadnais Heights, MN 55110-5191
Phone (612) 775-6200

1285 Nininger Rd
Hastings, MN 55033-1086
Phone (651) 480-4200

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

14655 Galaxie Ave
Apple Valley, MN 55124-8602

150 Emerson Ave E
West St Paul, MN 55118-2535
Phone (651) 241-1800

1540 Lake St S
Forest Lake, MN 55025-2628
Phone (651) 464-7100

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 (855) 324-7843

1880 N Frontage Rd
Hastings, MN 55033-2687
Phone (612) 775-6200

225 Smith Ave N
Suite 300
St Paul, MN 55102-2592
Phone (651) 241-5000

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

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

2925 Chicago Ave
Minneapolis, MN 55407-1321

4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306

4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461

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

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

8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005
Phone (651) 458-1884

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22188NDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Fairview Health Services CurrentSince Aug 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Aug 1, 2025 Accepting new patients
Fairview Health Services Current Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Altru Health System CurrentSince Aug 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Park Nicollet Clinic CurrentSince Aug 1, 2025 Accepting new patients
Altru Health System CurrentSince Aug 1, 2025 Accepting new patients
Towner County Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2025 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Jul 1, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 7, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Sep 8, 2025 Accepting new patients
William Noyes, MD PC CurrentSince Jan 2, 2026 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Aug 1, 2025 Accepting new patients
Suburban Imaging, LLC CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
University of Minnesota Physicians Current Accepting new patients
General Hospital Corp Current Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 7, 2025 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jul 4, 2025 Accepting new patients
Range Regional Health Services CurrentSince Aug 1, 2025 Accepting new patients
P R Health Corporation Current Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Fairview Health Services CurrentSince Aug 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Aug 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
St Joseph's Hospital and Health Center CurrentSince Jul 4, 2025 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
The Duluth Clinic LTD CurrentSince Sep 8, 2025 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Park Nicollet Clinic CurrentSince Aug 1, 2025 Accepting new patients
Madison Healthcare Services CurrentSince Jul 1, 2025 Accepting new patients
Allina Health System CurrentSince Aug 1, 2025 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 1, 2025 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2025 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
Ridgeview Medical Center Past Accepting new patients
Range Regional Health Services Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Aug 1, 2025 Accepting new patients

Locations (25 of 49)

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

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

62 13th St
Charlestown, MA 02129
Phone (617) 724-3874

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

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

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

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

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

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

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

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

750 E 34th St
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

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

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

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

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

Interoperability endpoints

  • Direct secure messaging: jang.samuel.mgh@direct.partners.masshiway.net
  • Direct secure messaging: sjang2680607@fairview.direct-ci.com

Organizations & group practices 56

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

View all 56

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1023515160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W",
            "address_2": "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 HWY 36 W",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "85203-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "66594",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "22188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.