Individual provider Active NPI

Daniel John Thompson, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1386776961
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53218 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Mar 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 53218 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
Suite 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, MA2 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
I20100925000251 MN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8224154372 Reassigns benefits to 9 organizations
I20240327000792 MA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8224154372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Minnesota Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L and M Radiology IncGroup PAC ID 6305819228, 20 clinicians
Northeast Radiology Associates LLPGroup PAC ID 0749353951, 10 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone (978) 946-8103

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1017881MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
L & M Radiology, Inc. Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 6, 2021 Accepting new patients
Fairview Health Services CurrentSince Jul 15, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Northeast Radiology Associates, LLP Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 1, 2019 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Pentucket Medical Associates, LLC Family Medicine Current Accepting new patients
Mayo Clinic Health System-Lake City Current Accepting new patients
Fairview Express Care Family Medicine CurrentSince Jul 15, 2019 Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Aug 6, 2021 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Shields Imaging at Anna Jaques Hospital LLC CurrentSince Apr 18, 2024 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 6, 2021 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology Past Accepting new patients

Locations

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

10 Little Brook Rd
West Wareham, MA 02576

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

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

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

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

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

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

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

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

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

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

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

Interoperability endpoints

  • Direct secure messaging: dthompson29834@direct.centracare.com
  • Direct secure messaging: dthompson447769@direct.bilh.masshiway.net
  • Direct secure messaging: thompson.daniel.pma@direct.partners.masshiway.net

Organizations & group practices 26

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 26

Hospital & facility affiliations 6

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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1386776961",
    "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",
            "address_2": "Suite 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": "THOMPSON",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "53218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.