Individual provider Active NPI

John M Nobrega, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1336188671
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
33607 Issued in MN
Practice address
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone
(612) 573-2200
Fax
(612) 573-2274
NPI assigned
Jun 5, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 33607 MN Primary

Addresses

Primary practice location

7595 Anagram Dr
Eden Prairie, MN 55344-7399

Mailing address

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Other practice location 1

1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Phone (612) 573-2200

Other identifiers 8

IdentifierTypeStateIssuer
34657400MedicaidWI
523317800MedicaidMN
764344OtherMNAMERICA'S PPO
0524462MedicaidIA
HP23221OtherMNHEALTHPARTNERS
01R81NOOtherMNBLUE CROSS
1014418OtherMNPREFERRED ONE
120773OtherMNUCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040124000216 MN Practitioner - Diagnostic Radiology 2769394964 Reassigns benefits to 11 organizations
I20130213000312 ND Practitioner - Diagnostic Radiology 2769394964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical CenterGroup PAC ID 7416851381, shared by 2 NPIs, 78 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians

Practice addresses (Care Compare)

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

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

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
St. Francis Regional Medical Center CurrentSince Feb 1, 2014 Accepting new patients
Allina Health System Current Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Sep 1, 1997 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Olmsted Medical Center CurrentSince Sep 1, 2005 Accepting new patients
Northfield Hospital CurrentSince Jan 27, 2024 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Feb 1, 2009 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Feb 1, 2018 Accepting new patients
Mercy Medical Center Current Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jul 22, 2023 Accepting new patients
Mercy Home Care CurrentSince Dec 19, 2012 Accepting new patients
Mercy Medical Center CurrentSince Dec 19, 2012 Accepting new patients
Madelia Health Current Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Olmsted Medical Center CurrentSince Sep 1, 2005 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
St Francis Regional Medical Center CurrentSince Feb 1, 2014 Accepting new patients
NPI 1083910871 Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients
Quest Diagnostics LLC Il PastSince Feb 1, 2018 Accepting new patients

Locations (25 of 39)

3369 Solutions Ctr
Chicago, IL 60677

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

10190 Baltimore St NE
Blaine, MN 55449
Phone (763) 717-9928

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

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

111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

3955 Parklawn Ave
Ste 100
Edina, MN 55435
Phone (952) 285-3722

8100 W 78th St
Ste 130
Edina, MN 55439
Phone (952) 285-3718

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

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

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

800 E 28th St
#E4300
Minneapolis, MN 55407
Phone (612) 863-3110

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

920 E 28th St
Ste 240
Minneapolis, MN 55407
Phone (612) 863-3850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1336188671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Nicollet Ave",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554032420",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBREGA",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "33607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34657400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523317800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "764344",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0524462",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP23221",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01R81NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1014418",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120773",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.