Individual provider Active NPI

Jason E Lally, MD

  • Diagnostic Radiology Physician
  • Rochester, MN
National Provider Identifier
1396094652
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
82198 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Sep 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X R4583 TX
Diagnostic Radiology Physician 2085R0202X 82198 MN Primary
Diagnostic Radiology Physician 2085R0202X R4583 TX
Neuroradiology Physician 2085N0700X 01095802A IN

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511

Other practice location 1

11700 N Meridian St
Carmel, IN 46032-4656
Phone (317) 688-2000

Other practice location 2

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-2345 ext. 2903

Other practice location 3

1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-2345 ext. 2903

Other practice location 4

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-6763

Other identifiers 2

IdentifierTypeStateIssuer
385426701MedicaidTX
385426702OtherTXCSHCN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jlally@direct.iuhealth.org Direct
Direct Messaging Address jlally2732058@ehrdirect.mayoclinicmsg.org
Direct Messaging Address jlally@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 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
I20180516001392 TX Practitioner - Diagnostic Radiology 6204190473 Reassigns benefits to 2 organizations
I20250303000121 IN Practitioner - Diagnostic Radiology 6204190473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Radiology Associates IncGroup PAC ID 7315922267, 213 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

10212 Lantern Rd
Fishers, IN 46037-9705
Phone (317) 841-5656

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166

11725 N Illinois St
Suite 275
Carmel, IN 46032-4656
Phone (317) 817-1114

1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000

1701 N Senate Blvd
C6
Indianapolis, IN 46202-1239
Phone (317) 962-9000

203 Laramie Dr
San Antonio, TX 78209-2345
Phone (248) 866-0759

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274

2598 W White River Blvd
The Imaging Center
Muncie, IN 47303-5251
Phone (765) 282-7595

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9356

2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1367

500 W Votaw St
Portland, IN 47371-1322
Phone (260) 726-1821

550 N University Blvd Room
Suite 0663
Indianapolis, IN 46202-5149

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 948-7569

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7360

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161
  • Iu Health West Hospital Hospital, Avon, IN, CCN 150158

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01095802AINMDNeuroradiology Physician
R4583TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jul 2, 2018 Accepting new patients
Indiana University Radiology Associates, Inc. Neuroradiology CurrentSince Apr 1, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology Current Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jul 2, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

8311 Ewing Halsell Dr
Fl 1
San Antonio, TX 78229

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: jlally@direct.iuhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1396094652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "507-284-2511",
            "fax_number": "210-567-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460324656",
            "country_code": "US",
            "telephone_number": "317-688-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90502",
            "country_code": "US",
            "telephone_number": "310-222-2345 x2903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-2345 x2903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-6763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALLY",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-02",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "R4583",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "82198",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R4583",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IN",
            "license": "01095802A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385426701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "385426702",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlally@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11700 N Meridian St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlally2732058@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlally@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.