Individual provider Active NPI

Benjamin Hong-Yul Bak, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1821059767
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A65318 Issued in CA
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Mar 30, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A65318 CA 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 practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT, ID3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041220000929 CA Practitioner - Diagnostic Radiology 7315905528 Reassigns benefits to 7 organizations
I20190131001162 MT Practitioner - Diagnostic Radiology 7315905528 Reassigns benefits to 4 organizations
I20260127000683 ID Practitioner - Diagnostic Radiology 7315905528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Roseburg Radiologists PCGroup PAC ID 0446246003, 45 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Virtual Radiologic Professionals of California PAGroup PAC ID 7719989342, 55 clinicians

Practice addresses (Care Compare)

Sunnyvale, CA 94087
Phone (570) 271-6144

1267 Townsend Ter
Sunnyvale, CA 94087-2065
Phone (952) 595-1100

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Feb 1, 2015 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jan 31, 2023 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 4, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jan 31, 2023 Accepting new patients
Sidney Health Center Current Accepting new patients
St. Mary's Hospital Inc Family Medicine CurrentSince Nov 9, 2025 Accepting new patients
Sidney Health Center Current Accepting new patients
Klickitat County Public Hospital District No 1 Current Accepting new patients
Northern Montana Hospital Current Accepting new patients
Sonata Diagnostic Imaging, LLC CurrentSince Feb 17, 2015 Accepting new patients
Sidney Health Center CurrentSince Dec 1, 2018 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
St. Mary's Hospital Inc Family Medicine CurrentSince Nov 9, 2025 Accepting new patients
Sidney Health Center CurrentSince Dec 1, 2018 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Feb 1, 2015 Accepting new patients
Roseburg Radiologists P C Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Virtual Radiologic Professionals of California, P.a Diagnostic Radiology CurrentSince Jan 2, 2011 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Radiology Group LLC Diagnostic Radiology PastSince May 1, 2021 Accepting new patients
County of Santa Clara Past Accepting new patients
Community Medical Center Past Accepting new patients
Johnston Memorial Hospital, Inc Past Accepting new patients
Geisinger Medical Center Past Accepting new patients
St. Mary's Hospital Inc Family Medicine Past Accepting new patients
Geisinger Jersey Shore Hospital Past Accepting new patients
Marin General Hospital Past Accepting new patients
Central Montana Medical Facilities, Inc. Family Medicine Past Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Bisbee Hospital Association Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Wyckoff Heights Medical Center Past Accepting new patients
Alameda Health System Past Accepting new patients
Virginia Commonwealth University Health System Authority Past Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients
Geisinger Lewistown Hospital Past Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients
Geisinger Health System Past Accepting new patients

Locations

815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

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

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

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

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

408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502

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

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

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

2460 NW Stewart Pkwy
Ste 100
Roseburg, OR 97471
Phone (541) 229-2663

2570 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 677-7200

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

249 Dakota St
Sutherlin, OR 97479
Phone (541) 529-4711

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

Organizations & group practices 42

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 42

Hospital & facility affiliations 10

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1821059767",
    "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": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAK",
        "first_name": "BENJAMIN",
        "middle_name": "HONG-YUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A65318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.