NPIMap

Individual provider Active NPI

Kenneth H Segel, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1063496800
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036086105 Issued in IL
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Dec 5, 2005
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036086105 IL 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 IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000445 IL Practitioner - Diagnostic Radiology 0446203384 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Delaware Imaging AssocGroup PAC ID 0547159709, 43 clinicians
Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
RemloGroup PAC ID 5193800258, 32 clinicians

Practice addresses (Care Compare)

107 Minneola St
Hinsdale, IL 60521-3513
Phone (302) 645-3300

1800 Broadway St
Pekin, IL 61554-3822
Phone (309) 671-8282

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 671-8282

25 Ivy LN
Oak Brook, IL 60523-1738
Phone (952) 595-1100

503 E Grant St
Macomb, IL 61455-3313
Phone (309) 833-4101

525 E Grant St
Macomb, IL 61455-3313
Phone (309) 833-4101

600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 671-8282

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Remlo Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 1, 2019 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Radiology Associates of Muncie, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Rockford Health Physicians CurrentSince May 29, 2019 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Feb 11, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 1, 2019 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Radiology Imaging Consultants SC Diagnostic Radiology PastSince Jun 11, 2023 Accepting new patients
Elmhurst Radiologists, SC Diagnostic Radiology Past Accepting new patients
Radiology Imaging Consultants S C Diagnostic Radiology PastSince Jun 11, 2023 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

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

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 and National Provider Directory roles.

View all 14

Hospital & facility affiliations 9

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1063496800",
    "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": "SEGEL",
        "first_name": "KENNETH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036086105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.