Individual provider Active NPI

Adam B Jeffers, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1255539748
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
56932 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 56932 MN
Diagnostic Radiology Physician 2085R0202X 56932 MN Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Mailing address

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

Other practice location 1

4801 W 81st St Ste 108
Minneapolis, MN 55437-1111
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, ND3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130702000112 MN Practitioner - Diagnostic Radiology 8325293038 Reassigns benefits to 24 organizations
I20210215000188 WI Practitioner - Diagnostic Radiology 8325293038 Reassigns benefits to 4 organizations
I20210310002411 ND Practitioner - Diagnostic Radiology 8325293038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

11850 Blackfoot St NW
Suite 180
Coon Rapids, MN 55433-2775
Phone (763) 795-1600

12000 Elm Creek Blvd N
Suite 310
Maple Grove, MN 55369-7090
Phone (763) 416-7888

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

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

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

Hospital & facility affiliations

  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • Centracare- Rice Memorial Hospital Hospital, Willmar, MN, CCN 240088
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Buffalo Hospital Hospital, Buffalo, MN, CCN 240076
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56932MNMDVascular & Interventional Radiology Physician
106892MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Jul 21, 2023 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Mar 1, 2021 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
Altru Health System Current Accepting new patients
Range Regional Health Services Current Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St. Joseph'S Hospital and Health Center CurrentSince Dec 7, 2022 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Towner County Medical Center Inc CurrentSince Oct 7, 2022 Accepting new patients
Allina Health System CurrentSince Jan 18, 2023 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 18, 2023 Accepting new patients
Park Nicollet Clinic CurrentSince Dec 27, 2023 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jul 21, 2023 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services Current Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Dec 7, 2022 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Jan 10, 2023 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 15, 2024 Accepting new patients
Allina Health System Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Allina Health System CurrentSince Feb 1, 2021 Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Fairview Health Services CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Mar 31, 2014 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 15, 2019 Accepting new patients
P R Health Corporation Current Accepting new patients
Altru Health System CurrentSince Apr 1, 2021 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Altru Health System CurrentSince Apr 1, 2021 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Madison Healthcare Services CurrentSince May 14, 2024 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Allina Health System CurrentSince Mar 31, 2014 Accepting new patients
Allina Health System Current Accepting new patients
Suburban Imaging, LLC CurrentSince Jan 1, 2014 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations (25 of 48)

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

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

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
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

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

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

8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900

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

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

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

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

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

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

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

Interoperability endpoints

  • Direct secure messaging: ajeffers183283@direct.centracare.com

Organizations & group practices 53

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 53

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1255539748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 W 81st St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554371111",
            "country_code": "US",
            "telephone_number": "952-837-9700",
            "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"
        }
    ],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "ADAM",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "56932",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "56932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.