NPIMap

Individual provider Active NPI

Melissa Roedel Johnson, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1801907225
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101240281 Issued in VA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22491 WV
Diagnostic Radiology Physician 2085R0202X 042-0012511 VT
Diagnostic Radiology Physician 2085R0202X 0101240281 VA 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 names 1

  • Dr. Melissa Ann Roedel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL, TX, NH, CA5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20070319000076 VA Practitioner - Diagnostic Radiology 2567461692 Reassigns benefits to 4 organizations
I20081013000164 IL Practitioner - Diagnostic Radiology 2567461692 Reassigns benefits to 1 organization
I20200405000277 TX Practitioner - Diagnostic Radiology 2567461692 Reassigns benefits to 1 organization
I20210701001841 NH Practitioner - Diagnostic Radiology 2567461692 Reassigns benefits to 1 organization
I20220119002250 CA Practitioner - Diagnostic Radiology 2567461692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Eastern Virginia Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California 2,047 clinicians
Virtual Radiologic Professionals LLC 392 clinicians
Radiology Alliance PC 449 clinicians

Practice addresses (Care Compare)

2673 Wimbledon Point Dr
Virginia Beach, VA 23454-1171
Phone (800) 926-8273

3137 Stonewood Dr
Virginia Beach, VA 23456-1563
Phone (952) 595-1100

6470 Pocahontas LN
Hayes, VA 23072-3221
Phone (615) 312-0600

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024
  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307
  • Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0012511VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jun 23, 2024 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jul 18, 2012 Accepting new patients
Littleton Hospital Association Current Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 9, 2020 Accepting new patients
Shenandoah Medical Imaging Inc Diagnostic Radiology Past Accepting new patients
Amerirad Inc Diagnostic Radiology Past Accepting new patients
Alameda Health System Past Accepting new patients
Morgantown Radiology Assoc PC Diagnostic Radiology Past Accepting new patients
Monongalia Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

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

Organizations & group practices 31

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 31

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1801907225",
    "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": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "ROEDEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "22491",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0012511",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101240281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ROEDEL",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.