Individual provider Active NPI

Thomas C Gallagher, DO

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1215904677
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MB04282100 Issued in NJ
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Mar 3, 2006
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 DO3979 ME
Diagnostic Radiology Physician 2085R0202X 25MB04282100 NJ 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NH, VT, ME4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050803000749 NJ Practitioner - Diagnostic RadiologyPractitioner - Internal Medicine 9739117367 Reassigns benefits to 8 organizations
I20151112002193 NH Practitioner - Diagnostic Radiology 9739117367 Reassigns benefits to 1 organization
I20240321002496 VT Practitioner - Diagnostic Radiology 9739117367 Reassigns benefits to 2 organizations
I20241203003854 ME Practitioner - Diagnostic Radiology 9739117367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Carlos G Otis Health Care Center IncGroup PAC ID 6002726387, shared by 4 NPIs, 46 clinicians
Red River Consultants IncGroup PAC ID 1355303363, 56 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-3601

4 Otter Creek Rd
Skillman, NJ 08558-2364
Phone (918) 392-1705

PO Box
Suite 216
Townshend, VT 05353-0216

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Dec 1, 2024 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 29, 2025 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Mar 1, 2024 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Mar 1, 2024 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Sep 1, 2018 Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Oct 15, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Dec 1, 2024 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Jul 16, 2018 Accepting new patients
Weeks Medical Center Current Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jul 8, 2019 Accepting new patients
Germantown MRI Associates PC Diagnostic Radiology Past Accepting new patients
Hunterdon Radiological Associates, P.a. Past Accepting new patients
Radiology Associates of New Jersey PC Diagnostic Radiology Past Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 52)

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

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

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

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

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

1325 Highway 76
Clarksville, TN 37043
Phone (615) 788-9324

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

Organizations & group practices 22

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 22

Hospital & facility affiliations 10

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1215904677",
    "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": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "DO3979",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB04282100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.