Individual provider Active NPI

Kurtis Lee Tedesco, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1396969945
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41866 Issued in AZ
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.300287 LA
Diagnostic Radiology Physician 2085R0202X 41866 AZ Primary
Diagnostic Radiology Physician 2085R0202X MD456324 PA

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) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, AK, ME, NH, ND, IL, MN8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20090821000079 AZ Practitioner - Diagnostic Radiology 5496809709 Reassigns benefits to 21 organizations
I20100427000803 TX Practitioner - Diagnostic Radiology 5496809709 Reassigns benefits to 5 organizations
I20190306003005 AK Practitioner - Diagnostic Radiology 5496809709
I20190417000291 ME Practitioner - Diagnostic Radiology 5496809709 Reassigns benefits to 2 organizations
I20210622000550 NH Practitioner - Diagnostic Radiology 5496809709 Reassigns benefits to 1 organization
I20230306002579 ND Practitioner - Diagnostic Radiology 5496809709 Reassigns benefits to 1 organization
I20250729000313 IL Practitioner - Diagnostic Radiology 5496809709 Reassigns benefits to 1 organization
I20251231000909 MN Practitioner - Diagnostic Radiology 5496809709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians
Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians
Southern Delaware Imaging AssocGroup PAC ID 0547159709, 43 clinicians
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians
Red River Consultants IncGroup PAC ID 1355303363, 56 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Radiologists Associated in Duluth LTDGroup PAC ID 4284547209, 45 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Atlantic Radiology Associates LLCGroup PAC ID 5799706032, 92 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
Radiology Associates of Macon PCGroup PAC ID 7113817701, 64 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians

Practice addresses (Care Compare)

Tucson, AZ 85750
Phone (570) 214-9907

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

20 Hartford St
Houlton, ME 04730-1859

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

3948 E Dubois Ave
Gilbert, AZ 85298-9153
Phone (410) 659-2963

4610 E Cerro de Aguila
Tucson, AZ 85718-6931
Phone (952) 595-1100

7368 E Summer Shade CT
Tucson, AZ 85750-1137
Phone (302) 645-3300

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41866AZMDDiagnostic Radiology Physician
MD.300287LAMDDiagnostic Radiology Physician
2117MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Ton San Xavier Health Center CurrentSince Apr 3, 2016 Accepting new patients
Southeast Alaska Regional Health Constortium CurrentSince Dec 3, 2017 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Nov 13, 2017 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Dec 7, 2024 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 15, 2018 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Sep 29, 2017 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 18, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Central Georgia MRI LLC Diagnostic Radiology CurrentSince Nov 6, 2019 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
West River Health Services Current Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Dec 5, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 28, 2019 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Apr 20, 2015 Accepting new patients
Southern Delaware Imaging Assoc Diagnostic Radiology CurrentSince Sep 16, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 3, 2017 Accepting new patients
Radiologists Associated in Duluth LTD Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Nov 13, 2017 Accepting new patients
Mille Lacs Health System CurrentSince Jan 1, 2026 Accepting new patients
Mille Lacs Health System CurrentSince Jan 1, 2026 Accepting new patients
Community Memorial Hospital Association CurrentSince Oct 19, 2025 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 28, 2019 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Jul 20, 2025 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Feb 1, 2018 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Feb 1, 2018 Accepting new patients
Ton San Simon Health Center CurrentSince Jul 25, 2016 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Kaleida Health CurrentSince Dec 7, 2024 Accepting new patients
Houlton Regional Hospital CurrentSince Mar 18, 2019 Accepting new patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology CurrentSince Nov 9, 2019 Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients

Locations (25 of 59)

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

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

26999 Network Pl
Chicago, IL 60673

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

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

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

1000 E 1st St
Fl 4
Duluth, MN 55805
Phone (218) 722-5513

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

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 48

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 48

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1396969945",
    "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": "952-595-1301",
            "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": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "KURTIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.300287",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "41866",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD456324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.