Individual provider Active NPI

Dennis Dejesus, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1629067327
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11601 Issued in NV
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 11601 NV
Diagnostic Radiology Physician 2085R0202X 11601 NV Primary
Diagnostic Radiology Physician 2085R0202X 59330 TN

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 NV, WA, TN, NH, ME, MT, OR, IL, TX, MN10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20051007000180 NV Practitioner - Diagnostic RadiologyPractitioner - Interventional RadiologyPractitioner - Other (Physician) 3476508193 Reassigns benefits to 9 organizations
I20131104000165 WA Practitioner - Diagnostic Radiology 3476508193 Reassigns benefits to 8 organizations
I20191018002369 TN Practitioner - Interventional Radiology 3476508193 Reassigns benefits to 1 organization
I20210616002793 NH Practitioner - Diagnostic Radiology 3476508193 Reassigns benefits to 1 organization
I20220210002332 ME Practitioner - Diagnostic Radiology 3476508193 Reassigns benefits to 2 organizations
I20230328000941 MT Practitioner - Diagnostic Radiology 3476508193 Reassigns benefits to 4 organizations
I20231019002368 OR Practitioner - Diagnostic Radiology 3476508193 Reassigns benefits to 8 organizations
I20240229003251 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3476508193 Reassigns benefits to 3 organizations
I20240301003777 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3476508193 Reassigns benefits to 2 organizations
I20250603001669 MN Practitioner - Diagnostic Radiology 3476508193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Roseburg Radiologists PCGroup PAC ID 0446246003, 45 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Radiologists Associated in Duluth LTDGroup PAC ID 4284547209, 45 clinicians
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians
RemloGroup PAC ID 5193800258, 32 clinicians

Practice addresses (Care Compare)

Bainbridge Island, WA 98110
Phone (832) 355-4112

10275 SW Shearwater Loop
Beaverton, OR 97007-8333
Phone (541) 673-4303

20 Hartford St
Houlton, ME 04730-1859

20 Hassayampa TRL
Henderson, NV 89052-6667
Phone (281) 742-0469

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2036

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000

3960 Howard Hughes Pkwy
Suite 500
Las Vegas, NV 89169-5988
Phone (866) 722-1655

4706 158TH PL SW
Lynnwood, WA 98087-2214
Phone (832) 355-4112

522 Madrona Way NE
Unit 4
Bainbridge Island, WA 98110-3281
Phone (702) 962-7770

8034 W Ford Ave
Las Vegas, NV 89113-5512
Phone (952) 595-1100

8755 Killians Greens Dr
Las Vegas, NV 89131-6706
Phone (952) 595-1100

9013 Emerald Hill Way
Las Vegas, NV 89117-5741
Phone (615) 312-0600

9433 Eagle Valley Dr
Las Vegas, NV 89134-7808
Phone (952) 595-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59330TNMDDiagnostic Radiology Physician
23073SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologists Associated in Duluth LTD Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Roseburg Radiologists P C Diagnostic Radiology CurrentSince Oct 10, 2023 Accepting new patients
Lakewood Health System Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Northstar Dermatology, PA CurrentSince Feb 1, 2024 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Dec 1, 2022 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jun 25, 2019 Accepting new patients
Mille Lacs Health System CurrentSince Jan 1, 2026 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Sidney Health Center Current Accepting new patients
Texas Interventional and Vascular Specialists PA CurrentSince Dec 13, 2024 Accepting new patients
Mille Lacs Health System CurrentSince Jan 1, 2026 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Houlton Regional Hospital CurrentSince Feb 1, 2022 Accepting new patients
Sidney Health Center CurrentSince Mar 21, 2023 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Houlton Regional Hospital CurrentSince Feb 1, 2022 Accepting new patients
Illinois Phlebology Associates SC Vascular & Interventional Radiology CurrentSince Oct 17, 2024 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Dec 1, 2022 Accepting new patients
North Shore Vein Clinics LLC CurrentSince Sep 9, 2024 Accepting new patients
Littleton Hospital Association Current Accepting new patients
Sidney Health Center CurrentSince Mar 21, 2023 Accepting new patients
Community Memorial Hospital Association CurrentSince Oct 17, 2025 Accepting new patients
Pacific County Hospital District 2 Current Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Remlo Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Sioux Center Health Past Accepting new patients
Vein Clinics of Chicago LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Foxhurst Medical of New York LLC Past Accepting new patients
Maimonides Medical Center Past Accepting new patients
Northstar Imaging Inc Diagnostic Radiology Past Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
GMG Health Systems Associates PA Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Delta Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Vascular Anesthesia Associates PLLC Past Accepting new patients
Texas Professional Medical Services LLC Vascular & Interventional Radiology Past Accepting new patients
Home Dialysis of Illinois LLC PastSince Nov 30, 2023 Accepting new patients
Providence Diagnostic Imaging, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 77)

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

15 Tower Ct
Ste 200
Gurnee, IL 60031
Phone (847) 623-8755

550 N Lake St
Mundelein, IL 60060
Phone (847) 548-9777

550 N Lake St
Ste 1
Mundelein, IL 60060

4141 Dundee Rd
Northbrook, IL 60062
Phone (224) 292-5411

1101 Perimeter Dr
Ste 620
Schaumburg, IL 60173
Phone (847) 619-5500

7100 Carpenter Rd
Skokie, IL 60077
Phone (847) 626-7692

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

10 Little Brook Rd
West Wareham, MA 02576

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

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

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

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3960 Howard Hughes Pkwy
Ste 500
Las Vegas, NV 89169
Phone (702) 946-9487

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7130 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128
Phone (702) 304-8135

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

1813 W Harvard Ave
Ste 411
Roseburg, OR 97471
Phone (541) 677-4418

Organizations & group practices 55

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.

View all 55

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1629067327",
    "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": "DEJESUS",
        "first_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NV",
            "license": "11601",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "11601",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "59330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.