Active NPI
Justin David Hill, MD
- Diagnostic Radiology Physician
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 51717
- Practice address
- 400 East 3Rd Street
Duluth Clinic
Duluth, MN 55805 - Phone
- (218) 786-4450
- NPI assigned
- Nov 13, 2007
- Last updated
- May 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD430869 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 51717 | MN | Primary |
Addresses
Primary practice location
400 East 3Rd Street
Duluth Clinic
Duluth, MN 55805
Mailing address
400 East 3Rd Street
Duluth Clinic
Duluth, MN 55805
Phone (218) 786-4450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306026778 | Medicaid | MN | |
| 1306026778 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Minnesota Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Duluth Clinic LTD
Practice addresses (Care Compare)
2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-2880
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health, LLC | Family Medicine | Current | Accepting new patients |
| St Mary's Hospital of Superior | Current | Accepting new patients | |
| St. Mary's Hospital of Superior | Current | Accepting new patients | |
| Innovis Health LLC | Family Medicine | Current | Accepting new patients |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St. Mary's Duluth Clinic Health System | Current | Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Brainerd Medical Center Inc | Current | Accepting new patients | |
| St. Mary's Hospital of Superior | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Brainerd Medical Center Inc. | Current | Accepting new patients | |
| Allegheny Radiology Associates, LTD | Diagnostic Radiology | Past | Accepting new patients |
Locations
13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
11134 N State Road 77
Hayward, WI 54843
Phone (715) 634-5505
15495 County Road B
Hayward, WI 54843
Phone (715) 634-2641
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457
Organizations & group practices 15
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.
-
dba Essentia Health Brainerd Specialty Clinic
- General Practice Physician
- Brainerd, MN
- NPI 1295801777
-
dba Essentia Health Cloquet Clinic
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
dba Essentia Health Duluth Clinic
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
WI
-
dba Essentia Health St. Mary's Hospital Superior
- Critical Access Hospital
- Superior, WI
- NPI 1083657886
-
dba Essentia Health Staples Pharmacy
- Clinic Pharmacy
- Staples, MN
- NPI 1972350486
-
dba Essentia Health Grand Rapids Clinic
- Multi-Specialty Clinic/Center
- Grand Rapids, MN
- NPI 1184132664
-
dba Essentia Health Hinckley Pharmacy
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
dba Essentia Health-Osgood Clinic
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
Family Medicine
-
dba Essentia Health Mid Dakota Bismarck 9th St Clinic
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1053039032
Family Medicine
-
dba Essentia Health Spooner Clinic
- Rural Health Clinic/Center
- Spooner, WI
- NPI 1083161301
-
- Clinical Medical Laboratory
- Superior, WI
- NPI 1205866928
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Essentia Health Emergency Medical Services-Deer River
- Ambulance
- Deer River, MN
- NPI 1295266898
Hospital
-
dba Essentia Health Deer River Clinic
- Critical Access Hospital Clinic/Center
- Deer River, MN
- NPI 1518904887
-
dba Essentia Health Grand Rapids Clnic
- Critical Access Hospital Clinic/Center
- Grand Rapids, MN
- NPI 1093152423
-
dba Essentia Health Deer River
- Medicare Defined Swing Bed Hospital Unit
- Deer River, MN
- NPI 1215041199
-
dba Essentia Health Deer River
- Critical Access Hospital
- Deer River, MN
- NPI 1225049018
-
- Critical Access Hospital
- Ely, MN
- NPI 1770542904
-
dba Essentia Health Virginia
- General Acute Care Hospital
- Virginia, MN
- NPI 1083617120
-
dba Essentia Health St Marys Medical Center
- General Acute Care Hospital
- Duluth, MN
- NPI 1457393035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1306026778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST 3RD STREET",
"address_2": "DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "55805",
"telephone_number": "218-786-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST 3RD STREET",
"address_2": "DULUTH CLINIC",
"city": "DULUTH",
"state": "MN",
"postal_code": "55805",
"telephone_number": "218-786-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JUSTIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD430869",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "51717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306026778",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306026778",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.