Individual provider Active NPI

Clarence Coolidge Coleman Jr., M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1528058096
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2015-02083 Issued in NC
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME133075 FL
Diagnostic Radiology Physician 2085R0202X 2015-02083 NC 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

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, NC, MO, MT, ME, SC, OR, IA8 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
I20051031000675 CA Practitioner - Diagnostic Radiology 2264491828 Reassigns benefits to 1 organization
I20160106000879 NC Practitioner - Diagnostic RadiologyPractitioner - Other (Physician)Practitioner - Interventional Radiology 2264491828 Reassigns benefits to 30 organizations
I20170714002216 MO Practitioner - Diagnostic Radiology 2264491828 Reassigns benefits to 1 organization
I20170921001406 MT Practitioner - Diagnostic Radiology 2264491828 Reassigns benefits to 4 organizations
I20190405001834 ME Practitioner - Diagnostic Radiology 2264491828 Reassigns benefits to 2 organizations
I20200108003144 SC Practitioner - Diagnostic Radiology 2264491828 Reassigns benefits to 1 organization
I20210712003460 OR Practitioner - Diagnostic Radiology 2264491828 Reassigns benefits to 1 organization
I20251013002168 IA Practitioner - Diagnostic Radiology 2264491828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians
Steuben Radiology Associates IncGroup PAC ID 2961416946, 57 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians
Beloit Radiology LTDGroup PAC ID 3274559711, 54 clinicians
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians
Englewood Radiologic Group P aGroup PAC ID 6901852300, 131 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

Raleigh, NC 27610
Phone (903) 663-4800

1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682

20 Hartford St
Houlton, ME 04730-1859

21224 Harken Dr
Cornelius, NC 28031-6252
Phone (704) 765-5833

66 Wintercress Dr
Mills River, NC 28759-0126
Phone (410) 659-2963

810 Delany Dr
Raleigh, NC 27610-1616
Phone (585) 343-6030

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133075FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center CurrentSince Jul 26, 2017 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jun 12, 2022 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Jul 13, 2023 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 15, 2018 Accepting new patients
Houlton Regional Hospital CurrentSince Apr 1, 2019 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Dec 15, 2024 Accepting new patients
Steuben Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 10, 2022 Accepting new patients
Sidney Health Center Current Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Sep 11, 2025 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 11, 2024 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jul 11, 2017 Accepting new patients
Houlton Regional Hospital CurrentSince Apr 1, 2019 Accepting new patients
Kaleida Health CurrentSince Dec 15, 2024 Accepting new patients
Self Regional Healthcare Partners Diagnostic Radiology Current Accepting new patients
Allendale County Hospital Board Current Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Feb 1, 2018 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 29, 2018 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Sidney Health Center Current Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Sidney Health Center CurrentSince Jul 26, 2017 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Apr 20, 2018 Accepting new patients
Radiology Associates of Muncie, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jun 23, 2024 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 2, 2019 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
John P Anderson MD Russell M Perry MD and Mark a Sharzer MD a Med CRP CurrentSince Jul 10, 2011 Accepting new patients
Cox Barton County Hospital Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Dec 5, 2018 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Dec 24, 2023 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 30, 2022 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2022 Accepting new patients
Kern County Hospital Authority CurrentSince Apr 29, 2025 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Aug 28, 2017 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Feb 1, 2018 Accepting new patients
United Memorial Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Alameda Health System Past Accepting new patients
John P. Anderson MD, Russell M. Perry MD, and Mark a. Sharzer, AMC Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Quest Imaging Medical Associates, Inc. Past Accepting new patients
Northeast Montana Health Services, Inc. Past Accepting new patients
Advanced Imaging Center, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 113)

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

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) 543-5754

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100

16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

Interoperability endpoints

  • Direct secure messaging: ccoleman258908@uihcdirect.org
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 57

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 57

Hospital & facility affiliations 6

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1528058096",
    "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": "COLEMAN",
        "first_name": "CLARENCE",
        "middle_name": "COOLIDGE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME133075",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2015-02083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.