Active NPI
Jidi Gao, MD
- Vascular & Interventional Radiology Physician
- Rochester, MN
National Provider Identifier
1710364906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 67384
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (603) 650-5748
- NPI assigned
- Apr 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 73588 | WI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 275551 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 67384 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Other practice location 1
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgao1215549@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota RegionMayo Clinic Health System-St James
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261
800 Medical Ctr Dr
Fairmont, MN 56031-4575
Phone (507) 238-8555
Hospital & facility affiliations
- Mayo Clinic Health System - Mankato
- Mayo Clinic Health System New Prague
- Mayo Clinic Health System - Fairmont
- Mayo Clinic Health System - Waseca
- North Memorial Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 45 |
| Leg revascularization (restoring blood flow) | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275551 | MA | MD | Vascular & Interventional Radiology Physician |
| 67384 | MN | MD | Vascular & Interventional Radiology Physician |
| 73588 | WI | MD | Vascular & Interventional Radiology Physician |
Practice roles
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
825 Mankato Ave
Winona, MN 55987
Phone (507) 454-4925
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
Interoperability endpoints
- jgao1215549@ehrdirect.mayoclinicmsg.org
Organizations & group practices 18
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.
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
- Multi-Specialty Clinic/Center
- Lake City, MN
- NPI 1164463659
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
-
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Multi-Specialty Clinic/Center
- Saint James, MN
- NPI 1023177730
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
MN
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
MN
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairmont, MN
- NPI 1821066499
-
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1710364906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "603-650-5748"
}
],
"practiceLocations": [
{
"address_1": "1025 Marsh St",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560014752",
"country_code": "US",
"telephone_number": "507-625-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAO",
"first_name": "JIDI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WI",
"license": "73588",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "275551",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MN",
"license": "67384",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgao1215549@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1025 Marsh St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560014752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.