NPIMap

Individual provider Active NPI

Kenneth V Chong, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1497924633
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A111588 Issued in CA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 68

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 68

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
Geisinger Clinic 3,432 clinicians
Golden State Imaging Associates Inc 242 clinicians
Mary Imogene Bassett Hospital 780 clinicians
Palm Desert Radiology Medical Group Inc 125 clinicians
Virtual Radiologic Professionals of California PA 55 clinicians
Sutter Bay Medical Foundation 3,783 clinicians
Renaissance Imaging Medical Associates Inc 126 clinicians
Crouse Radiology Associates LLP 105 clinicians

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

  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100626000265 CA Practitioner - Diagnostic Radiology 7315078961 Reassigns benefits to 13 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111588CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 24, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince May 5, 2017 Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jul 9, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 15, 2018 Accepting new patients
Kaleida Health CurrentSince Dec 8, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Dec 29, 2019 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 29, 2019 Accepting new patients
Sutter Bay Medical Foundation CurrentSince May 5, 2017 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Dec 8, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 20, 2023 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 3, 2023 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Oct 4, 2024 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Metropolitan Hospital-Pharmacy Past Accepting new patients
Geisinger Health System Past Accepting new patients
Jefferson Health - Northeast Past Accepting new patients
Geisinger Jersey Shore Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Alameda Health System Past Accepting new patients
Memorial Hospital Inc of Towanda PA Past Accepting new patients
Community Medical Center Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Corning Hospital Past Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology Past Accepting new patients
Geisinger Lewistown Hospital Past Accepting new patients
Thomas Jefferson University Hospitals Inc Past Accepting new patients
Kennedy University Hospital, Inc. Past Accepting new patients
Geisinger Medical Center Past Accepting new patients
Aria Health Past Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Robert Packer Hospital Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery 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

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

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

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

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A111588 CA Primary
Diagnostic Radiology Physician 2085R0202X MD459352 PA

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2026.

{
    "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

Verify at the official NPI Registry.