Individual provider Active NPI

John William Colford, M.D.

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
National Provider Identifier
1164575411
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301513349 Issued in MI
Practice address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone
(616) 363-7272
Fax
(616) 361-5828
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 ME 98928 FL
Diagnostic Radiology Physician 2085R0202X 47400 MN
Diagnostic Radiology Physician 2085R0202X 4301513349 MI Primary

Addresses

Primary practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272

Other practice location 1

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Other identifiers 2

IdentifierTypeStateIssuer
278707500MedicaidFL
AF126ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080721000076 MN Practitioner - Diagnostic Radiology 1254426141 Reassigns benefits to 13 organizations
I20230922002797 ND Practitioner - Diagnostic Radiology 1254426141 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
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

7470 Chanhassen Rd
Chanhassen, MN 55317-9503
Phone (225) 757-0552

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 98928FLMDDiagnostic Radiology Physician
4301513349MIMDDiagnostic Radiology Physician
47400MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Allina Health System CurrentSince Jun 27, 2023 Accepting new patients
Park Nicollet Clinic CurrentSince Feb 8, 2024 Accepting new patients
Allina Health System Current Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
P R Health Corporation Current Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System CurrentSince Jun 27, 2023 Accepting new patients
Fairview Health Services CurrentSince Jul 15, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Advanced Radiology Services PC Diagnostic Radiology CurrentSince Mar 1, 2025 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
St Joseph'S Hospital and Health Center CurrentSince Aug 12, 2023 Accepting new patients
Towner County Medical Center Inc CurrentSince Dec 5, 2023 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Fairview Clinics Current Accepting new patients
St Josephs Hospital and Health Center CurrentSince Aug 12, 2023 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Jul 15, 2019 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Madison Healthcare Services CurrentSince May 13, 2024 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jun 11, 2023 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 18, 2023 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2020 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Mar 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology PastSince Jun 4, 2008 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 34)

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

3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001

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

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

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

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

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

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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

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

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

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

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

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

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

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2355 Highway 36 W
Ste 100
Saint Paul, MN 55113
Phone (651) 292-0000

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

Organizations & group practices 37

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 37

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1164575411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7272",
            "fax_number": "616-361-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7272",
            "fax_number": "616-361-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 W 81st ST",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55437",
            "country_code": "US",
            "telephone_number": "952-837-9700",
            "fax_number": "952-837-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "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"
        },
        {
            "address_1": "2355 Highway 36 W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133905",
            "country_code": "US",
            "telephone_number": "651-292-2000",
            "fax_number": "952-837-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLFORD",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 98928",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "47400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301513349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278707500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AF126Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.