Individual provider Active NPI

Andrew D Lee, M.D.

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1124070883
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
50681 Issued in MN
Practice address
2355 Highway 36 W
Ste 100
Roseville, MN 55113-3905
Phone
(952) 837-9700
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 50681 MN Primary

Addresses

Primary practice location

2355 Highway 36 W
Ste 100
Roseville, MN 55113-3905

Mailing address

2355 Highway 36 W
Ste 100
Roseville, MN 55113-3905
Phone (952) 837-9700

Other practice location 1

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone (763) 780-9155

Other practice location 2

4801 W 81st St
Suite 108
Minneapolis, MN 55437-1111
Phone (952) 837-9700

Other practice location 3

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, ND3 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
I20070620000129 WI Practitioner - Diagnostic Radiology 2769581578 Reassigns benefits to 3 organizations
I20080721000162 MN Practitioner - Diagnostic Radiology 2769581578 Reassigns benefits to 25 organizations
I20230613001836 ND Practitioner - Diagnostic Radiology 2769581578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

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

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

2450 Riverside Ave
Minneapolis, MN 55454-1450

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

2925 Chicago Ave
Minneapolis, MN 55407-1321

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220

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

  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207
  • Fairview Lakes Health Services Hospital, Wyoming, MN, CCN 240050
  • Fairview Northland Regional Hospital Hospital, Princeton, MN, CCN 240141
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Apr 17, 2018 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
William Noyes, MD PC CurrentSince Jan 2, 2026 Accepting new patients
Suburban Imaging, LLC CurrentSince Apr 17, 2018 Accepting new patients
Allina Health System CurrentSince Jan 26, 2023 Accepting new patients
Ridgeview Medical Center CurrentSince Jan 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
The Duluth Clinic, LTD CurrentSince May 21, 2025 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
Fairview Clinics CurrentSince Aug 4, 2022 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Apr 26, 2023 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince May 21, 2025 Accepting new patients
Altru Health System CurrentSince Apr 1, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 15, 2024 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Aug 1, 2022 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 20, 2023 Accepting new patients
Altru Health System Current Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Altru Health System CurrentSince Apr 1, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Madison Healthcare Services CurrentSince Apr 10, 2024 Accepting new patients
Towner County Medical Center Inc CurrentSince Jun 24, 2023 Accepting new patients
Fairview Clinics CurrentSince Aug 4, 2022 Accepting new patients
Fairview Health Services CurrentSince Jul 15, 2019 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Apr 17, 2018 Accepting new patients
Allina Health System Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Jul 15, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Allina Health System Current Accepting new patients
P R Health Corporation Current Accepting new patients
Range Regional Health Services Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jun 24, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Ridgeview Medical Center Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Apr 17, 2018 Accepting new patients

Locations (25 of 50)

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

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

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

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

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

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

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

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

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

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

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

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

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

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

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

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

8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900

9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155

Organizations & group practices 54

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 54

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1124070883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "952-837-9700",
            "fax_number": "952-837-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "952-837-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 Springbrook Dr NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554335841",
            "country_code": "US",
            "telephone_number": "763-780-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 W 81st St",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554371111",
            "country_code": "US",
            "telephone_number": "952-837-9700",
            "fax_number": "952-837-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022370",
            "country_code": "US",
            "telephone_number": "651-292-2000",
            "fax_number": "651-292-2136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "50681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.