NPIMap

Individual provider Active NPI

John Fox III, MD

  • Vascular & Interventional Radiology Physician
  • Sartell, MN
National Provider Identifier
1710430301
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
72522 Issued in MN
Practice address
1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone
(320) 257-5595
NPI assigned
Jul 29, 2016
Last updated
May 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 RL14188 ND
Vascular & Interventional Radiology Physician 2085R0204X 72522 MN Primary

Addresses

Primary practice location

1990 Connecticut Ave S
Sartell, MN 56377-2554

Mailing address

4350 32ND St S
Saint Cloud, MN 56301-6254
Phone (701) 226-3754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102001740 MN Practitioner - Diagnostic Radiology 0749553857 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Diagnostic RadiologyGroup PAC ID 8820901564, 38 clinicians
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians
Central Imaging LLCGroup PAC ID 7012324213, 23 clinicians
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians
Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians
Unity Family HealthcareGroup PAC ID 9830003516, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

11 5TH Ave NW
Melrose, MN 56352-1071
Phone (320) 256-4949

1406 6TH N Ave
Saint Cloud, MN 56303-1900
Phone (320) 255-5619

1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787

20 9TH St SE
Long Prairie, MN 56347-1404
Phone (320) 732-2141

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3779

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

3351 Roosevelt Rd
Saint Cloud, MN 56301-6270
Phone (320) 257-9755

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495

425 Elm N St
Sauk Centre, MN 56378-1010
Phone (320) 352-2221

815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL14188NDMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Astera Health Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jan 14, 2026 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Astera Health CurrentSince Nov 1, 2022 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Regional Diagnostic Radiology CurrentSince Sep 19, 2022 Accepting new patients
Central Imaging LLC CurrentSince Sep 19, 2022 Accepting new patients
Astera Health CurrentSince Nov 1, 2022 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Apr 9, 2024 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Unity Family Healthcare CurrentSince Apr 22, 2024 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Apr 9, 2024 Accepting new patients
Unity Family Healthcare CurrentSince Apr 22, 2024 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

3351 Roosevelt Rd
Saint Cloud, MN 56301
Phone (320) 255-6530

1990 Connecticut Ave S
Sartell, MN 56377
Phone (320) 257-5595

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

Organizations & group practices 15

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 15

Hospital & facility affiliations 11

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": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1710430301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 32ND ST S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016254",
            "telephone_number": "701-226-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-257-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2023-05-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ND",
            "license": "RL14188",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "72522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.