Active NPI
Kenneth V Chong, M.D.
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A111588
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Feb 21, 2008
- Last updated
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A111588 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD459352 | 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
Other practice location 1
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Sunnyvale, CA 94087
Phone (570) 214-9907
1195 Queen Ann Dr
Sunnyvale, CA 94087-2240
Phone (818) 639-2901
1267 Townsend Ter
Sunnyvale, CA 94087-2065
Phone (760) 674-3850
1367 Stein Way
Corona, CA 92882-6063
Phone (952) 595-1100
144 S 3Rd St
Unit 150
San Jose, CA 95112-6501
Phone (818) 639-2901
1509 Bel Air CT
Redlands, CA 92373-7117
Phone (866) 722-1655
1585 Agnew Rd
Unit 4
Santa Clara, CA 95054-4254
Phone (888) 965-0083
20665 Lomita Ave
Saratoga, CA 95070-6023
Phone (315) 234-7600
370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 773-1251
481 S Mathilda Ave
Unit 407
Sunnyvale, CA 94086-7497
Phone (818) 639-2901
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111588 | CA | MD | Diagnostic Radiology Physician |
| MD459352 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Angelina Diagnostic Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Kaleida Health | Diagnostic Radiology | Current | Accepting new patients |
| Crouse Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Claremont Imaging Associates, a Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Virtual Radiologic Professionals of California, P.a | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture LLC | Diagnostic Radiology | Current | Accepting new patients |
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Community Medical Center | Past | Accepting new patients | |
| Robert Packer Hospital | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients | |
| Geisinger Medical Center | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Memorial Hospital Inc of Towanda PA | Past | Accepting new patients | |
| Kennedy University Hospital, Inc. | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Corning Hospital | Past | Accepting new patients | |
| Geisinger Jersey Shore Hospital | Past | Accepting new patients | |
| Aria Health | Past | Accepting new patients | |
| Abington Memorial Hospital | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Universal Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Past | Accepting new patients |
| Jefferson Health - Northeast | Past | Accepting new patients | |
| Metropolitan Hospital-Pharmacy | Past | Accepting new patients | |
| Geisinger Bloomsburg Hospital | Past | Accepting new patients | |
| Geisinger Lewistown Hospital | Past | Accepting new patients | |
| Geisinger Health System | Past | Accepting new patients |
Locations
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
47111 Monroe St
#1112
Indio, CA 92201
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
795 El Camino Real
#1112
Palo Alto, CA 94301
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720
4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
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
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Interoperability endpoints
- casacolina@direct.casacolina.org
Organizations & group practices 40
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.
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1881792166
CA
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
CA
-
dba Eisenhower Radiology Medical Group, Inc
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba ADRA Medical Imaging
- Diagnostic Radiology Physician
- Lufkin, TX
- NPI 1033175302
CA
-
- Diagnostic Radiology Physician
- Pomona, CA
- NPI 1619068921
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
CA, Diagnostic Radiology
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Oneonta, NY
- NPI 1578529954
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
dba Bassett Healthcare
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1497924633",
"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": [
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHONG",
"first_name": "KENNETH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-21",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A111588",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD459352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.