Individual provider Active NPI

Guillermo Jimenez, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1154570984
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
55328 Issued in CT
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Sep 17, 2008
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 55328 CT Primary
Diagnostic Radiology Physician 2085R0202X MD470598 PA
Vascular & Interventional Radiology Physician 2085R0204X 55328 CT

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) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC, TX, MT, IA, FL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20160923000348 CT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8921395617 Reassigns benefits to 17 organizations
I20201008003254 SC Practitioner - Diagnostic Radiology 8921395617 Reassigns benefits to 1 organization
I20220421000497 TX Practitioner - Diagnostic Radiology 8921395617 Reassigns benefits to 2 organizations
I20230327002730 MT Practitioner - Diagnostic Radiology 8921395617 Reassigns benefits to 4 organizations
I20251016001812 IA Practitioner - Diagnostic Radiology 8921395617 Reassigns benefits to 2 organizations
I20260318002391 FL Practitioner - Diagnostic Radiology 8921395617 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Southern Delaware Imaging AssocGroup PAC ID 0547159709, 43 clinicians
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

Winter Springs, FL 32708
Phone (952) 595-1100

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

162 Rimmon Rd
Woodbridge, CT 06525-1917
Phone (302) 645-7919

221 N Parker Hill Rd
Killingworth, CT 06419-1124
Phone (952) 595-1100

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

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

36 Hoffmann Rd
Canton, CT 06019-2123
Phone (952) 595-1100

7516 Rigby CT
Lakewood Ranch, FL 34202-2453
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55328CTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Olean General Hospital CurrentSince Aug 9, 2025 Accepting new patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
North Mississippi Radiology Services LLC Diagnostic Radiology CurrentSince May 21, 2024 Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center CurrentSince Apr 1, 2023 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince May 1, 2022 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Sidney Health Center CurrentSince Apr 1, 2023 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Vein Centers, LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Nov 3, 2024 Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Sep 11, 2023 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince May 1, 2022 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Feb 9, 2026 Accepting new patients
Self Regional Healthcare Partners Diagnostic Radiology Current Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
GMG Health Systems Associates PA Past Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Radiological Group, PA Specialist Past Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

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

22 Pine St
Bristol, CT 06010
Phone (860) 229-8346

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492
Phone (203) 269-0885

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

10 Little Brook Rd
West Wareham, MA 02576

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

30 13th St
Havre, MT 59501
Phone (406) 262-1302

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Interoperability endpoints

  • Direct secure messaging: grjimenez@direct.carene.org

Organizations & group practices 40

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 40

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1154570984",
    "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": "952-595-1100",
            "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": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "55328",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD470598",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "55328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.