Individual provider Active NPI

Siva R Bodagala, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1568432508
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L3925 Issued in TX
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 L3925 TX 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 TX, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060201000528 TX Practitioner - Diagnostic Radiology 5991719635 Reassigns benefits to 9 organizations
I20250923000682 IA Practitioner - Diagnostic Radiology 5991719635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtual Radiologic Professionals of Texas I, PAGroup PAC ID 6204838766, 35 clinicians
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

2533 Goldsmith St
Houston, TX 77030-1815
Phone (952) 595-1100

5421 Braeburn Dr
Bellaire, TX 77401-4702
Phone (814) 723-4973

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0247TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Nov 7, 2022 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 7, 2024 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Sep 16, 2020 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 9, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Warren General Hospital CurrentSince Dec 7, 2024 Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology CurrentSince Nov 1, 2016 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Nov 7, 2022 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

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

100 N Academy Ave
Danville, PA 17822

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 16

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 16

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1568432508",
    "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": "BODAGALA",
        "first_name": "SIVA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.