James Dickinson, M.D.
Individual provider Active NPI Vascular & Interventional Radiology Physician · Sartell, MN
NPI 1104192541 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1104192541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 60421 (MN)
- Practice address
- 1990 Connecticut Ave S
Sartell, MN 56377-2554 - Phone
- (320) 257-5595
- NPI assigned
- Mar 30, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- New York Medical College, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regional Diagnostic Radiology
Aitkin Community Hospital Inc
Central Imaging LLC
Stevens Community Medical Center Inc
Astera Health
Unity Family Healthcare
Practice addresses (Care Compare)
1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787
200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121
3351 Roosevelt Rd
Saint Cloud, MN 56301-6270
Phone (320) 257-9755
400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495
815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
- Cuyuna Regional Medical Center
- Centracare - Paynesville Hospital
- Centracare Health System - Melrose Hospital
- Centracare - Long Prairie Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 32 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180716000629 | MN | Practitioner - Interventional Radiology | 5193020097 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60421 | MN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Diagnostic Radiology | Diagnostic Radiology | Current |
Accepting new patients |
| Aitkin Community Hospital, Inc. | Current |
Accepting new patients | |
| St Cloud Pathologists PA | Current | Accepting new patients | |
| Stevens Community Medical Center Inc. | Current | Accepting new patients | |
| Simplicity Health PA | Current |
Accepting new patients | |
| Astera Health | Current |
Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current |
Accepting new patients | |
| Astera Health | Current |
Accepting new patients | |
| Astera Health | Diagnostic Radiology | Current | Accepting new patients |
| Stevens Community Medical Center Inc | Current |
Accepting new patients | |
| Unity Family Healthcare | Current |
Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current |
Accepting new patients | |
| Central Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Unity Family Healthcare | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current |
Accepting new patients |
Locations
7892 Solutions Ctr
Chicago, IL 60677
200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121
320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157
815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441
1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671
400 E 1st St
Morris, MN 56267
Phone (320) 589-1313
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
3290 42nd Ave S
Saint Cloud, MN 56301
Phone (320) 227-5000
3351 Roosevelt Rd
Saint Cloud, MN 56301
Phone (320) 255-6530
1990 Connecticut Ave S
Sartell, MN 56377
Phone (320) 257-5595
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
Interoperability endpoints
- jdickinson406095@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 60421 | MN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 60421 | MN | Yes |
Addresses
Primary practice location
1990 Connecticut Ave S
Sartell, MN 56377-2554
Mailing address
1990 Connecticut Ave S
Sartell, MN 56377-2554
Other providers in Sartell, MN
- Dentistry for Children, P.a.
- Edward Michael Desautel
- Tabitha Dee Determan
- Kurt M Devine
- Ranjan Dey
- Tammy K Dickinson
- Christine Diederich
- Claire Amy Dierkhising
- Kristin Anita Dilley
- Laurie Lynn Dingmann
All providers in Sartell, MN · Vascular & Interventional Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.