Individual provider Active NPI

Jon Michael Lewis, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1053583401
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
243307 Issued in NY
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
NPI assigned
Mar 26, 2008
Last updated
Jul 1, 2026By the provider in NPPES
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 243307 NY
Diagnostic Radiology Physician 2085R0202X 243307 NY Primary
Diagnostic Radiology Physician 2085R0202X MD480612 PA

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

45 Reade Pl
Vassar Brothers Medical Center
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, VA, MI, CA, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20081205000263 NY Practitioner - Diagnostic Radiology 5799846044 Reassigns benefits to 2 organizations
I20091210000479 CT Practitioner - Diagnostic Radiology 5799846044 Reassigns benefits to 2 organizations
I20210609003635 VA Practitioner - Diagnostic Radiology 5799846044 Reassigns benefits to 21 organizations
I20220329001194 MI Practitioner - Diagnostic Radiology 5799846044 Reassigns benefits to 2 organizations
I20230428000717 CA Practitioner - Diagnostic Radiology 5799846044 Reassigns benefits to 1 organization
I20260628000164 TX Practitioner - Diagnostic Radiology 5799846044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Delaware Imaging AssocGroup PAC ID 0547159709, 43 clinicians
Beloit Radiology LTDGroup PAC ID 3274559711, 54 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians

Practice addresses (Care Compare)

Henrico, VA 23229
Phone (302) 645-3133

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

1008 Pastern Brief
Virginia Beach, VA 23455-6618
Phone (302) 645-3300

3137 Stonewood Dr
Virginia Beach, VA 23456-1563
Phone (952) 595-1100

8916 Rearden Rd
Henrico, VA 23229-8117
Phone (615) 312-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243307NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Apr 1, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jul 24, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 13, 2021 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Hudson Valley Radiologists P C Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 13, 2021 Accepting new patients
Beacon Dowagiac Inc Current Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince May 3, 2025 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Warren General Hospital CurrentSince Dec 1, 2024 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Family Medicine CurrentSince Mar 16, 2020 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Jul 11, 2024 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Nov 1, 2025 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince Jul 1, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jun 10, 2023 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Neuroradiology CurrentSince Dec 2, 2022 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Sep 2, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 1, 2023 Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Hudson Valley Radiologists, PC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jul 19, 2021 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
GMG Health Systems Associates PA Family Medicine Past Accepting new patients
Community Medical Center Past Accepting new patients
Guthrie County Hospital Past Accepting new patients
Mercy Medical Center Inc Past Accepting new patients
Geisinger Medical Center Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients
Geisinger Jersey Shore Hospital Past Accepting new patients
Marquette General Hospital, Inc. Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Central Montgomery Medical Center L L C Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Alameda Health System Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Geisinger Lewistown Hospital Past Accepting new patients
University Medical Center, Inc Past Accepting new patients
Sutter East Bay Medical Foundation Family Medicine Past Accepting new patients
Madison Radiologists S C Diagnostic Radiology PastSince Sep 24, 2022 Accepting new patients
Temple University Hospital, Inc Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

1791 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4090

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

723 S Lake Dr
Prestonsburg, KY 41653
Phone (606) 430-2225

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

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

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

10 Healthy Way
Ellenville, NY 12428
Phone 8456476400294

1 Columbia St
Fl 1
Poughkeepsie, NY 12601
Phone (845) 473-1188

2678 South Rd
Ste 202
Poughkeepsie, NY 12601
Phone (845) 471-2848

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 53

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 53

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1053583401",
    "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": "45 Reade Pl",
            "address_2": "Vassar Brothers Medical Center",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013947",
            "country_code": "US",
            "telephone_number": "845-454-8500",
            "fax_number": "845-790-5719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "243307",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "243307",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD480612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.