Individual provider Active NPI

Joshua Daniel Heaton, M.D.

  • Diagnostic Radiology Physician
  • Minneapolis, MN
National Provider Identifier
1689037103
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28790 Issued in MN
Practice address
701 Park Ave
Minneapolis
Minneapolis, MN 55415-1623
Phone
(612) 873-4093
NPI assigned
Apr 1, 2016
Last updated
Jan 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 28790 MN Primary

Addresses

Primary practice location

701 Park Ave
Minneapolis
Minneapolis, MN 55415-1623

Mailing address

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone (612) 625-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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
I20220404002233 MN Practitioner - Diagnostic Radiology 2961794979 Reassigns benefits to 10 organizations
I20230125000367 WI Practitioner - Diagnostic Radiology 2961794979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologists Associated in Duluth LTDGroup PAC ID 4284547209, 45 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Lifecare Medical CenterGroup PAC ID 4789586884, 55 clinicians
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1001 Main St W
Ashland, WI 54806-1366
Phone (715) 682-5601

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

402 E Platt Ave
Nashwauk, MN 55769-1147
Phone (218) 885-2858

715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500

750 E 34TH St
Hibbing, MN 55746-2341
Phone (218) 262-4881

8496 Enterprise Dr S
Mountain Iron, MN 55768-8226
Phone (218) 741-2250

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28790MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Association CurrentSince Apr 1, 2022 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Apr 19, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Sep 1, 2024 Accepting new patients
Range Regional Health Services CurrentSince Jun 1, 2022 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Apr 19, 2023 Accepting new patients
Radiologists Associated in Duluth LTD Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Lifecare Medical Center CurrentSince Sep 25, 2025 Accepting new patients
Lifecare Medical Center CurrentSince Sep 25, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Sep 1, 2024 Accepting new patients
Range Regional Health Services Current Accepting new patients
Range Regional Health Services CurrentSince Jun 1, 2022 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Radiological Associates of Duluth, LTD Diagnostic Radiology Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

10 Little Brook Rd
West Wareham, MA 02576

417 Skyline Blvd
Cloquet, MN 55720
Phone (218) 879-1271

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227

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

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

1000 E 1st St
Fl 4
Duluth, MN 55805
Phone (218) 722-5513

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

221 W 4th St
Duluth, MN 55806
Phone (218) 279-4142

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

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

8496 Enterprise Dr S
Mountain Iron, MN 55768
Phone (217) 741-2250

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500

1001 Main St W
Ashland, WI 54806
Phone (715) 682-5601

36745 Aiken Rd
Bayfield, WI 54814
Phone (715) 779-3707

Organizations & group practices 14

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 14

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1689037103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-625-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "MINNEAPOLIS",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "28790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.