Active NPI
Benjamin Hong-Yul Bak, MD
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A65318
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Family Medicine | Current | Accepting new patients |
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Family Medicine | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| St. Mary's Hospital Inc | Family Medicine | Current | 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 | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| St. Mary's Hospital Inc | Family Medicine | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Roseburg Radiologists P C | Diagnostic Radiology | Current | Accepting new patients |
| Central Montana Medical Facilities, Inc | Current | Accepting new patients | |
| Virtual Radiologic Professionals of California, P.a | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Group LLC | Diagnostic Radiology | Past | 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.
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1881792166
CA
-
dba Eisenhower Radiology Medical Group, Inc
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Central Montana Medical Center
- Critical Access Hospital
- Lewistown, MT
- NPI 1790798387
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
CA, Diagnostic Radiology
-
dba Klickitat Valley Health
- Critical Access Hospital
- Goldendale, WA
- NPI 1386689487
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- Critical Access Hospital
- Sidney, MT
- NPI 1285719161
-
dba St. Mary's Health
- Critical Access Hospital
- Cottonwood, ID
- NPI 1841292307
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.