Individual provider Active NPI

John Patrick Mulloy, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1093763062
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K7068 Issued in TX
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 K7068 TX Primary
Diagnostic Radiology Physician 2085R0202X ME139253 FL

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, TN, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20051206000916 TX Practitioner - Diagnostic Radiology 2264452168 Reassigns benefits to 10 organizations
I20211130003208 TN Practitioner - Diagnostic Radiology 2264452168 Reassigns benefits to 6 organizations
I20250729002214 IL Practitioner - Diagnostic Radiology 2264452168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

347 Crawford Springs Rd
Beech Bluff, TN 38313-9347
Phone (615) 312-0600

5040 Murray LN
Brentwood, TN 37027-5801
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

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139253FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
North Star MCD, LLC CurrentSince Oct 1, 2018 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jun 16, 2022 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
North Star GV, LP CurrentSince Oct 1, 2018 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Dec 6, 2021 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Nov 1, 2000 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 1, 2018 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Oct 1, 2018 Accepting new patients
North Star MCD, LLC CurrentSince Oct 1, 2018 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 22, 2020 Accepting new patients
North Star FM, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star Plano Parkway, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star CN, LP CurrentSince Oct 1, 2018 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
North Star MRI LP CurrentSince Oct 1, 2018 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Nov 1, 2000 Accepting new patients
North Star FP, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star MCD, LLC Current Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology CurrentSince May 13, 2019 Accepting new patients

Locations

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

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

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

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

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

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

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

8501 Wade Blvd
#220N
Frisco, TX 75034

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 22

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 22

Hospital & facility affiliations 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1093763062",
    "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": "MULLOY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K7068",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME139253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.