Individual provider Active NPI

Shannon L Daniels, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1053533703
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
CDRH.0046558 Issued in CO
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X D65414 MD
Diagnostic Radiology Physician 2085R0202X CDRH.0046558 CO Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other practice location 1

10 N Greene St
Baltimore, MD 21201-1524
Phone (919) 724-2052

Other identifiers 1

IdentifierTypeStateIssuer
412852400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NJ, MT, ME, IA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20080728000551 CO Practitioner - Diagnostic Radiology 1153413059 Reassigns benefits to 8 organizations
I20240710003808 NJ Practitioner - Diagnostic Radiology 1153413059 Reassigns benefits to 1 organization
I20250915003667 MT Practitioner - Diagnostic Radiology 1153413059 Reassigns benefits to 2 organizations
I20260218000849 ME Practitioner - Diagnostic Radiology 1153413059 Reassigns benefits to 2 organizations
I20260225002839 IA Practitioner - Diagnostic Radiology 1153413059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians

Practice addresses (Care Compare)

Monument, CO 80132
Phone (570) 271-6144

20 Hartford St
Houlton, ME 04730-1859

20 Hartford St
Houlton, ME 04730-1891
Phone (207) 532-2900

28 Covington Dr
Englewood, CO 80113-4145
Phone (952) 595-1100

2808 N Lafayette St
Denver, CO 80205-4451
Phone (832) 355-4112

3101 Lakefront Dr
Monument, CO 80132-7984
Phone (952) 595-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.1 of 100Reported as group
Quality
76.59
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH.0046558COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Sep 1, 2025 Accepting new patients
Sidney Health Center CurrentSince Nov 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Feb 17, 2026 Accepting new patients
Radiology Associates of Ridgewood P a CurrentSince Jul 1, 2024 Accepting new patients
Houlton Regional Hospital CurrentSince Feb 7, 2026 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 1, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Feb 7, 2026 Accepting new patients
Houlton Regional Hospital CurrentSince Feb 7, 2026 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Feb 17, 2026 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Aug 17, 2025 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Feb 17, 2026 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Aug 16, 2025 Accepting new patients
Sidney Health Center CurrentSince Nov 1, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Feb 7, 2026 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
University Imaging Center, LLC Body Imaging Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Body Imaging Past Accepting new patients
University Imaging Specialists Diagnostic Radiology Past Accepting new patients
Shipley'S Imaging, LLC Diagnostic Radiology Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Body Imaging Past Accepting new patients

Locations

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

20 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 445-3040

Organizations & group practices 27

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 27

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1053533703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 N Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011524",
            "country_code": "US",
            "telephone_number": "919-724-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MD",
            "license": "D65414",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CDRH.0046558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412852400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.