Active NPI
Bharathidasan Jagadeesan, MD
- Diagnostic Radiology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 17685.
- Practice address
- 420 Delaware Street
MMC 292, Mayo Memorial Building
Minneapolis, MN 55455 - Phone
- (612) 626-5589
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 17685. | MN | Primary |
Addresses
Primary practice location
420 Delaware Street
MMC 292, Mayo Memorial Building
Minneapolis, MN 55455
Mailing address
111 Marquette Ave
Apt #504
Minneapolis, MN 55401-2038
Phone (612) 332-8268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Allina Health System
Practice addresses (Care Compare)
1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 262-7633
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
6545 France Ave S
Suite 450
Edina, MN 55435-2122
Phone (952) 924-1520
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
- M Health Fairview University of MN Medical Center
- Hennepin County Medical Center
- M Health Fairview Ridges Hospital
- Fairview Lakes Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.67 of 100
- Quality
- 67.02
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17685. | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hennepin Faculty Associates | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
6545 France Ave S
Ste 450
Edina, MN 55435
Phone (612) 626-6688
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
10961 Club West Pkwy
Minneapolis, MN 55449
Phone (763) 572-5700
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
420 Delaware St SE
#292
Minneapolis, MN 55455
Phone (612) 626-3345
715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
280 Smith Ave N
Ste 600
Saint Paul, MN 55102
Phone (651) 241-6550
310 Smith Ave N
Ste 440
Saint Paul, MN 55102
Phone (651) 241-6550
1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000
1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600
Interoperability endpoints
- bjagadeesan207283@fairview.direct-ci.com
Organizations & group practices 25
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- General Practice Physician
- River Falls, WI
- NPI 1407395247
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Hospitalist Physician
- Coon Rapids, MN
- NPI 1063448959
-
- Clinic/Center
- Minneapolis, MN
- NPI 1205069325
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1255523221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MARQUETTE AVE",
"address_2": "APT #504",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554012038",
"telephone_number": "612-332-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE STREET",
"address_2": "MMC 292, MAYO MEMORIAL BUILDING",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-626-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGADEESAN",
"first_name": "BHARATHIDASAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "17685.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.