NPIMap

Individual provider Active NPI

John W. Van Tassel, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1063443638
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD197971 Issued in OR
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jul 5, 2006
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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 220799 NY
Diagnostic Radiology Physician 2085R0202X MD197971 OR 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) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, NV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201021001155 TX Practitioner - Diagnostic Radiology 4183633225 Reassigns benefits to 2 organizations
I20201021002515 WA Practitioner - Diagnostic Radiology 4183633225 Reassigns benefits to 2 organizations
I20210506001404 NV Practitioner - Diagnostic Radiology 4183633225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

8755 Killians Greens Dr
Las Vegas, NV 89131-6706
Phone (952) 595-1100

9433 Eagle Valley Dr
Las Vegas, NV 89134-7808
Phone (952) 595-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220799NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cow Creek Band of Umpqua Tribe of Indians CurrentSince Oct 1, 2020 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Pacific County Hospital District 2 Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 15, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Oct 1, 2020 Accepting new patients
Roseburg Radiologists P C Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Oct 1, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 15, 2023 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Radiological Group, PA Past Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
West Side Radiology Associates, PC Diagnostic Radiology Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

1813 W Harvard Ave
Ste 411
Roseburg, OR 97471
Phone (541) 677-4418

2460 NW Stewart Pkwy
Ste 100
Roseburg, OR 97471
Phone (541) 229-2663

2570 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 677-7200

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

249 Dakota St
Sutherlin, OR 97479
Phone (541) 529-4711

Organizations & group practices 16

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 16

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1063443638",
    "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": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "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": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSEL",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "220799",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD197971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.