Individual provider Active NPI

Gregg P Sydow, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1619157609
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
47172 Issued in AZ
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 256973 MA
Diagnostic Radiology Physician 2085R0202X 47172 AZ 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

795 Middle St
Fall River, MA 02721-1733
Phone (508) 996-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, MT, MO, VT, ND, MN, IA, WY9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20130731000343 AZ Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 15 organizations
I20131015001855 TX Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 6 organizations
I20170726000621 MT Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 4 organizations
I20200403000779 MO Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 1 organization
I20220302001843 VT Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 2 organizations
I20230307001393 ND Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 1 organization
I20250603002506 MN Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 1 organization
I20251006001806 IA Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 2 organizations
I20251211003944 WY Practitioner - Diagnostic Radiology 6002057296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Southern Illinois University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians
San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Steuben Radiology Associates IncGroup PAC ID 2961416946, 57 clinicians
Radiology Associates of Muncie IncGroup PAC ID 3577476100, 57 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
Fred Smeltzer MD and Associates IncGroup PAC ID 8921078304, 95 clinicians

Practice addresses (Care Compare)

Flagstaff, AZ 86005
Phone (716) 692-2160

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (832) 915-2534

4062 S Holland Rd
Flagstaff, AZ 86005-8967
Phone (615) 312-0600

4610 E Cerro de Aguila
Tucson, AZ 85718-6931
Phone (952) 595-1100

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47172AZMDDiagnostic Radiology Physician
256973MAMDDiagnostic Radiology Physician

Practice roles (47 of 51)

OrganizationSpecialtyStatusNew patients
West River Health Services Current Accepting new patients
Hot Springs County Hospital District CurrentSince Oct 3, 2025 Accepting new patients
Olean General Hospital CurrentSince Aug 20, 2025 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Ton Sells Hospital CurrentSince Jul 24, 2013 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Apr 10, 2025 Accepting new patients
Sidney Health Center Current Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Mar 1, 2022 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 27, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 1, 2016 Accepting new patients
Sidney Health Center CurrentSince Dec 1, 2018 Accepting new patients
Steuben Radiology Associates Inc Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 28, 2025 Accepting new patients
Lakewood Health System Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 2021 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Sidney Health Center Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 2021 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Apr 1, 2021 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 14, 2018 Accepting new patients
Cox Barton County Hospital Current Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Oct 17, 2025 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Sep 30, 2019 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Dec 7, 2024 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Apr 1, 2021 Accepting new patients
Olean General Hospital Current Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Hot Springs County Hospital District CurrentSince Oct 3, 2025 Accepting new patients
Kaleida Health CurrentSince Dec 7, 2024 Accepting new patients
Cambridge Public Health Commission CurrentSince Mar 31, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 14, 2018 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Sidney Health Center CurrentSince Dec 1, 2018 Accepting new patients
Lifespan of Massachusetts - Taunton Inc CurrentSince Jul 24, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Radiology Associates of Muncie, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 1, 2016 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

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

1625 N Campbell Ave
Tucson, AZ 85719

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

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

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

350 Main St
Malden, MA 02148
Phone (781) 321-2727

10 Little Brook Rd
West Wareham, MA 02576

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

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500

30 13th St
Havre, MT 59501
Phone (406) 262-1302

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gsydow211686@cityofhope.direct-ci.com

Organizations & group practices 47

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 47

Hospital & facility affiliations 5

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1619157609",
    "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": "795 Middle St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027211733",
            "country_code": "US",
            "telephone_number": "508-996-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYDOW",
        "first_name": "GREGG",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "256973",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "47172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.