Individual provider Active NPI

Edward Charles Callaway, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1487628269
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00046195 Issued in WA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Feb 16, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 MD00046195 WA 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) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20111103000356 WA Practitioner - Diagnostic Radiology 0345344859 Reassigns benefits to 4 organizations
I20170720001243 MT Practitioner - Diagnostic Radiology 0345344859 Reassigns benefits to 2 organizations
I20180313000712 TX Practitioner - Diagnostic Radiology 0345344859 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17040 10TH Ave NW
Shoreline, WA 98177-3709
Phone (952) 595-1100

22306 59TH Ave NE
Arlington, WA 98223-5603
Phone (952) 595-1100

32733 193Rd Ave SE
Kent, WA 98042-9705
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046195WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Feb 3, 2018 Accepting new patients
Sidney Health Center CurrentSince Jul 23, 2025 Accepting new patients
Pacific County Hospital District 2 Current Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Jul 1, 2025 Accepting new patients
Ton San Xavier Health Center CurrentSince Oct 23, 2025 Accepting new patients
Ton Sells Hospital CurrentSince Oct 23, 2025 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Oct 20, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine Current Accepting new patients
Chelan County Public Hospital District No 2 Current Accepting new patients
Ton San Simon Health Center CurrentSince Oct 23, 2025 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Feb 3, 2018 Accepting new patients
Klickitat County Public Hospital District No 1 CurrentSince Jul 1, 2025 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Oct 20, 2025 Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

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

Interoperability endpoints

  • Direct secure messaging: ecallaway166884@cityofhope.direct-ci.com
  • Direct secure messaging: ecallaway237617@direct.myadvocateaurora.org

Organizations & group practices 20

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 20

Hospital & facility affiliations 8

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1487628269",
    "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": "CALLAWAY",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00046195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.