Individual provider Active NPI

Jill Wruble, DO

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1396717666
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
040312 Issued in CT
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42127 MN
Diagnostic Radiology Physician 2085R0202X 25MB08334700 NJ
Diagnostic Radiology Physician 2085R0202X 182948 NY
Diagnostic Radiology Physician 2085R0202X 040312 CT Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, MD, IL, CA, TX, VT7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20040402000484 CT Practitioner - Diagnostic Radiology 3173515632 Reassigns benefits to 11 organizations
I20060822000251 NY Practitioner - Diagnostic Radiology 3173515632 Reassigns benefits to 2 organizations
I20200803002915 MD Practitioner - Diagnostic Radiology 3173515632 Reassigns benefits to 1 organization
I20210921002382 IL Practitioner - Diagnostic Radiology 3173515632 Reassigns benefits to 1 organization
I20220120002368 CA Practitioner - Diagnostic Radiology 3173515632 Reassigns benefits to 1 organization
I20220310002409 TX Practitioner - Diagnostic Radiology 3173515632 Reassigns benefits to 4 organizations
I20220714001753 VT Practitioner - Diagnostic Radiology 3173515632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Nassau Diagnostic Imaging Services PCGroup PAC ID 8820902653, 9 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Red River Consultants IncGroup PAC ID 1355303363, 56 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians
Vermont Diagnostic Imaging LLCGroup PAC ID 9436640893, 27 clinicians

Practice addresses (Care Compare)

115 W Sunrise Hwy
Freeport, NY 11520-3612
Phone (516) 546-9200

117 Albany Tpke
Canton, CT 06019-2507
Phone (860) 679-3692

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

263 Farmington Ave
Farmington, CT 06030-8082

291 Ocean Dr E
Stamford, CT 06902-8219
Phone (832) 915-2534

316 Westmont St
West Hartford, CT 06117-2938
Phone (918) 392-1705

36 Hoffmann Rd
Canton, CT 06019-2123
Phone (410) 659-2963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040312CTMDDiagnostic Radiology Physician
42127MNMDDiagnostic Radiology Physician
25MB08334700NJMDDiagnostic Radiology Physician
182948NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Dec 6, 2023 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 12, 2024 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Sep 12, 2025 Accepting new patients
Western Nassau Diagnostic Imaging Services P.C. CurrentSince Sep 1, 2006 Accepting new patients
Ton Sells Hospital CurrentSince Feb 1, 2022 Accepting new patients
Allen Rothpearl Imaging MD PC Diagnostic Radiology CurrentSince May 21, 2017 Accepting new patients
Uconn Health Imaging, LLC Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
University of Connecticut Health Center Diagnostic Radiology CurrentSince Feb 10, 2023 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Dec 8, 2022 Accepting new patients
Ton San Xavier Health Center CurrentSince Feb 1, 2022 Accepting new patients
Vermont Diagnostic Imaging LLC CurrentSince Feb 1, 2026 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince May 23, 2022 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince May 23, 2022 Accepting new patients
University of Connecticut Health Center CurrentSince Feb 10, 2023 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Apr 1, 2022 Accepting new patients
Ton San Simon Health Center CurrentSince Feb 1, 2022 Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Oct 17, 2025 Accepting new patients
RK Med Imaging Inc CurrentSince Jun 3, 2023 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Johns Hopkins University Current Accepting new patients
Crawford Hospital District Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jun 10, 2021 Accepting new patients
Vein Centers, LLC Diagnostic Radiology Past Accepting new patients
Advanced Radiology P a Diagnostic Radiology Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Mandell & Blau, MD'S PC Diagnostic Radiology Past Accepting new patients
Suburban Radiologic Consultants, LTD. Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
New Britain Radiological Assoc.,PC Diagnostic Radiology Past Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology Past Accepting new patients

Locations

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

300 Canal St
King City, CA 93930
Phone (831) 385-6000

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

5 Munson Rd
Ste 110
Farmington, CT 06032
Phone (860) 679-2800

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

297 Larkfield Rd
Unit 440
East Northport, NY 11731

115 W Sunrise Hwy
Freeport, NY 11520
Phone (516) 546-9200

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • Direct secure messaging: jwruble698026@direct.hopkinsmedicine.org

Organizations & group practices 36

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 36

Hospital & facility affiliations 10

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1396717666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRUBLE",
        "first_name": "JILL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "42127",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB08334700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "182948",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "040312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.