NPIMap

Individual provider Active NPI

Michael Anthony Todora, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1063465920
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L5930 Issued in TX
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
May 19, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X L5930 TX
Neuroradiology Physician 2085N0700X L5930 TX
Nuclear Radiology Physician 2085N0904X L5930 TX
Pediatric Radiology Physician 2085P0229X L5930 TX
Vascular & Interventional Radiology Physician 2085R0204X L5930 TX
Diagnostic Ultrasound Physician 2085U0001X L5930 TX
Diagnostic Radiology Physician 2085R0202X L5930 TX 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

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0312

Other identifiers 1

IdentifierTypeStateIssuer
L5930OtherTXTX PHYSICIANS PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040614001695 TX Practitioner - Diagnostic Radiology 2567446941 Reassigns benefits to 8 organizations
I20210311000751 IL Practitioner - Diagnostic Radiology 2567446941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Virtual Radiologic Professionals of Texas I, PAGroup PAC ID 6204838766, 35 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
RemloGroup PAC ID 5193800258, 32 clinicians

Practice addresses (Care Compare)

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000

3114 Bluffview Dr
Garland, TX 75043-1454
Phone (952) 595-1100

3691 Encanto Dr
Fort Worth, TX 76109-3545
Phone (615) 312-0600

9155 Grapevine Hwy
Suite 120
North Richland Hills, TX 76180-5671
Phone (713) 461-3573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5930TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology CurrentSince Dec 11, 2020 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Crawford Hospital District Current Accepting new patients
Acute Care Surgical Affiliates of Texas PA CurrentSince Aug 1, 2020 Accepting new patients
Radiology Associates of North Texas PA Body Imaging CurrentSince Jul 1, 2004 Accepting new patients
Specialists in Medical Imaging SC Body Imaging CurrentSince Jan 23, 2021 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Apr 24, 2024 Accepting new patients
Radiology Associates of North Texas PA Body Imaging CurrentSince Jul 1, 2004 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

1005 Broadway St
Quincy, IL 62301

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

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

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

2975 E Broad St
Ste 101
Mansfield, TX 76063
Phone (214) 420-5445

8080 Independence Pkwy
Ste 105
Plano, TX 75025
Phone (972) 208-1858

Organizations & group practices 14

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 14

Hospital & facility affiliations 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1063465920",
    "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",
            "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": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042224",
            "country_code": "US",
            "telephone_number": "817-321-0312",
            "fax_number": "817-317-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODORA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "L5930",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "L5930",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "L5930",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "L5930",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L5930",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": "L5930",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L5930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX PHYSICIANS PERMIT",
            "identifier": "L5930",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.