Individual provider Active NPI

Michael J Caruso, D.O.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1114176906
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
274187 Issued in MA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Sep 16, 2008
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 DO3699 ME
Diagnostic Radiology Physician 2085R0202X 274187 MA 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

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3850

Other practice location 2

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other practice location 3

55 Fruit Street
Blk SB, Rm 0029A
Boston, MA 02114
Phone (781) 724-5246

Other identifiers 1

IdentifierTypeStateIssuer
274187OtherMAMASSACHUSETTS STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MT, CA, TX, ME, WA, OR7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20180815001936 MA Practitioner - Diagnostic Radiology 3779737812 Reassigns benefits to 23 organizations
I20231011002996 MT Practitioner - Diagnostic Radiology 3779737812 Reassigns benefits to 4 organizations
I20231106002663 CA Practitioner - Diagnostic Radiology 3779737812 Reassigns benefits to 1 organization
I20231122000318 TX Practitioner - Diagnostic Radiology 3779737812 Reassigns benefits to 6 organizations
I20240126001127 ME Practitioner - Diagnostic Radiology 3779737812 Reassigns benefits to 2 organizations
I20250714002124 WA Practitioner - Diagnostic Radiology 3779737812 Reassigns benefits to 1 organization
I20260107003847 OR Practitioner - Diagnostic Radiology 3779737812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New England, College of Osteo Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, shared by 2 NPIs, 116 clinicians
Roseburg Radiologists PCGroup PAC ID 0446246003, 45 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

20 Hartford St
Houlton, ME 04730-1859

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2036

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

7 Mulberry LN
Franklin, MA 02038-1187
Phone (952) 595-1100

82 Maple St
Norton, MA 02766-2607
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274187MAMDDiagnostic Radiology Physician
DO3699MEMDDiagnostic Radiology Physician

Practice roles (60 of 72)

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Feb 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Olean General Hospital Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 22, 2019 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2024 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Harbor Medical Associates, Inc. Family Medicine CurrentSince Jul 22, 2019 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 15, 2024 Accepting new patients
Columbia Lutheran Charities CurrentSince Jul 1, 2025 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 28, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2024 Accepting new patients
Rochester General Hospital CurrentSince Nov 1, 2024 Accepting new patients
Sidney Health Center Current Accepting new patients
Pacific County Hospital District 2 Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Sidney Health Center Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Houlton Regional Hospital CurrentSince Feb 1, 2024 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 1, 2024 Accepting new patients
Ton San Xavier Health Center CurrentSince Nov 1, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 1, 2024 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 19, 2021 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Nov 30, 2023 Accepting new patients
Ton Sells Hospital CurrentSince Nov 1, 2023 Accepting new patients
Sidney Health Center CurrentSince Oct 1, 2023 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Family Medicine CurrentSince Oct 21, 2019 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Jul 1, 2024 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Apr 8, 2025 Accepting new patients
Sidney Health Center CurrentSince Oct 1, 2023 Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Ton San Simon Health Center CurrentSince Nov 1, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Oct 1, 2024 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 15, 2024 Accepting new patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
United Memorial Medical Center Family Medicine CurrentSince Aug 25, 2024 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 24, 2025 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 22, 2019 Accepting new patients
Roseburg Radiologists P C Diagnostic Radiology CurrentSince Nov 8, 2024 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Umass Memorial Medical Group Inc Family Medicine CurrentSince Jul 29, 2022 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Columbia Lutheran Charities CurrentSince Jul 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 19, 2021 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Jul 1, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 29, 2022 Accepting new patients
Brigham and Women's Faulkner Hospital Inc Past Accepting new patients
Lahey Clinic, Inc Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Mymichigan Medical Center Sault Past Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients

Locations (25 of 43)

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

File 57326
Los Angeles, CA 90074

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

70380 Highway 111
Rancho Mirage, CA 92270

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Rm 29A
Boston, MA 02114
Phone (617) 724-4255

75 Francis St
Boston, MA 02115

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/1e652adb-d6d8-4094-bdfc-81d32d2a7070

Organizations & group practices 74

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 74

Hospital & facility affiliations 8

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1114176906",
    "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": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit Street",
            "address_2": "Blk SB, Rm 0029A",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "781-724-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "DO3699",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "274187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS STATE LICENSE",
            "identifier": "274187",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.