NPIMap

Jack Chen, MD

Individual provider Active NPI Diagnostic Radiology Physician · Roseville, MN

NPI 1104356500 · NPPES record last updated Jul 31, 2023

Key facts

NPI
1104356500
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
74190 (MN)
Practice address
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113
Phone
(651) 292-2000
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 119

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 119

Hospital & facility affiliations 16

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

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Itasca Clinic and Hospital (328 clinicians)
Allina Health System (3,844 clinicians)
Altru Health System (675 clinicians)
Lutheran Charity Association (168 clinicians)
Marshfield Clinic Inc (207 clinicians)
Midwest Radiology PA (217 clinicians)
Ridgeview Medical Center (407 clinicians)
Fairview Express Care (1,946 clinicians)
St. Joseph'S Hospital and Health Center (157 clinicians)
The Duluth Clinic LTD (1,135 clinicians)
Range Regional Health Services (349 clinicians)
Suburban Imaging LLC (142 clinicians)

Practice addresses (Care Compare)

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1687 E Division St
River Falls, WI 54022-1571

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000

2450 Riverside Ave
Minneapolis, MN 55454-1450

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

Hospital & facility affiliations

  • Regions Hospital Hospital · Saint Paul, MN · CCN 240106
  • Lakeview Memorial Hospital Hospital · Stillwater, MN · CCN 240066
  • Westfields Hospital and Clinic Hospital · New Richmond, WI · CCN 521345
  • Amery Hospital & Clinic Hospital · Amery, WI · CCN 521308
  • Hudson Hospital Hospital · Hudson, WI · CCN 521335

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in ND, MN, WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230815000620 ND Practitioner - Diagnostic Radiology 2668744426 Reassigns benefits to 3 organizations
I20230816003429 MN Practitioner - Diagnostic Radiology 2668744426 Reassigns benefits to 24 organizations
I20230817001425 WI Practitioner - Diagnostic Radiology 2668744426 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Imaging, LLC Current
since Aug 1, 2023		 Accepting new patients
Fairview Health Services Internal Medicine Current
since Aug 1, 2023		 Accepting new patients
The Duluth Clinic LTD Current
since Mar 20, 2025		 Accepting new patients
Fairview Health Services Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc Current
since Aug 1, 2023		 Accepting new patients
Altru Health System Internal Medicine Current
since Sep 1, 2023		 Accepting new patients
Allina Health System Current
since Aug 1, 2023		 Accepting new patients
Fairview Express Care Current
since Aug 1, 2023		 Accepting new patients
William Noyes, MD PC Current
since Jan 2, 2026		 Accepting new patients
Fairview Clinics Current Accepting new patients
Marshfield Clinic Inc Current
since Oct 15, 2024		 Accepting new patients
Altru Health System Current
since Sep 1, 2023		 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Health Services Current
since Aug 1, 2023		 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
P R Health Corporation Current Accepting new patients
Allina Health System Current Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Allina Health System Current
since Aug 1, 2023		 Accepting new patients
Towner County Medical Center Inc Current
since Aug 1, 2023		 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
St Joseph'S Hospital and Health Center Current
since Aug 1, 2023		 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology Current
since Jan 1, 2025		 Accepting new patients
Grand Itasca Clinic and Hospital Current
since Feb 1, 2025		 Accepting new patients
Range Regional Health Services Current
since Jan 1, 2025		 Accepting new patients
Pembina County Memorial Hospital Association Current
since Aug 1, 2023		 Accepting new patients
St. Joseph'S Hospital and Health Center Current
since Aug 1, 2023		 Accepting new patients
Fairview Clinics Current
since Aug 1, 2023		 Accepting new patients
Lac Qui Parle Clinic of Madison Inc Current
since Dec 23, 2023		 Accepting new patients
Range Regional Health Services Current
since Jan 1, 2025		 Accepting new patients
Allina Health System Current
since Aug 1, 2023		 Accepting new patients
Lutheran Charity Association Diagnostic Radiology Current
since Oct 7, 2024		 Accepting new patients
Grand Itasca Clinic and Hospital Current
since Feb 1, 2025		 Accepting new patients
St. Croix Regional Medical Center Current
since Aug 1, 2023		 Accepting new patients
St. Croix Regional Medical Center Current
since Aug 1, 2023		 Accepting new patients
Fairview Clinics Current
since Aug 1, 2023		 Accepting new patients
University of Minnesota Physicians Current
since Aug 1, 2023		 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Current Accepting new patients
University of Minnesota Physicians Current
since Aug 1, 2023		 Accepting new patients
Madison Healthcare Services Current
since Jun 7, 2024		 Accepting new patients
Allina Health System Current
since Aug 1, 2023		 Accepting new patients
Allina Health System Current Accepting new patients
The Duluth Clinic, LTD. Current
since Mar 20, 2025		 Accepting new patients
Fairview Express Care Current
since Aug 1, 2023		 Accepting new patients
Allina Health System Current
since Aug 1, 2023		 Accepting new patients
Fairview Express Care Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology Current
since Aug 1, 2023		 Accepting new patients
Ridgeview Medical Center Current
since Jan 1, 2025		 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past
since Aug 1, 2023		 Accepting new patients
Range Regional Health Services Past Accepting new patients

Locations (25 of 45)

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 74190 MN Yes

Addresses

Primary practice location

2355 Hwy 36 W
Ste. 100
Roseville, MN 55113

Mailing address

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113
Phone (651) 292-2000

Other providers in Roseville, MN

All providers in Roseville, MN · Diagnostic Radiology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.