Individual provider Active NPI

Jeffrey L Hare, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1205837895
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD045141L Issued in PA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Aug 3, 2005
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 MD045141L PA 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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA, ME, NH, WY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20070412000191 PA Practitioner - Diagnostic Radiology 8224931852 Reassigns benefits to 15 organizations
I20220118002654 CA Practitioner - Diagnostic Radiology 8224931852 Reassigns benefits to 1 organization
I20220211000195 ME Practitioner - Diagnostic Radiology 8224931852 Reassigns benefits to 2 organizations
I20220815001736 NH Practitioner - Diagnostic Radiology 8224931852 Reassigns benefits to 1 organization
I20251124003357 WY Practitioner - Diagnostic Radiology 8224931852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

1020 Thompson St
Jersey Shore, PA 17740-1729
Phone (570) 398-1991

1201 Oak St
Pittston, PA 18640-3798
Phone (570) 808-9800

1600 Arch St
Apt 1815
Philadelphia, PA 19103-2026
Phone (570) 214-9907

29 Heather Way
Newtown Square, PA 19073-3965
Phone (760) 837-8756

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 363-9071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045141LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Jan 28, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Nov 7, 2022 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 26, 2023 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Nov 7, 2022 Accepting new patients
Geisinger Clinic CurrentSince Dec 30, 2021 Accepting new patients
Warren General Hospital Current Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Kern County Hospital Authority CurrentSince May 3, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Jan 28, 2022 Accepting new patients
Warren General Hospital CurrentSince Dec 1, 2024 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Dec 30, 2021 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Dec 25, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Sep 12, 2025 Accepting new patients
Pottstown Clinic Company LLC Family Medicine CurrentSince Oct 1, 2011 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Hot Springs County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Hot Springs County Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Northeast Open MRI, Inc PastSince Oct 1, 2019 Accepting new patients
Lebanon Imaging Associates, PC Diagnostic Radiology Past Accepting new patients
Delaware County Open MRI L.L.C PastSince Mar 31, 2009 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology PastSince May 25, 2021 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Hospital Physician Services, LLLP Past Accepting new patients
Wishon Radiological Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology PastSince Mar 1, 2025 Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology Past Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology Past Accepting new patients
Open M.R.I of Chestnut Hill, L.L.C. Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

File 57326
Los Angeles, CA 90074

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

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

10 Little Brook Rd
West Wareham, MA 02576

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

100 N Academy Ave
Danville, PA 17822

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 5

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1205837895",
    "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": "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"
        }
    ],
    "basic": {
        "last_name": "HARE",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD045141L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.