Individual provider Active NPI

Aaron P Gould, MD

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1821350455
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036146138 Issued in IL
Practice address
3050 Montvale Dr Ste a
Springfield, IL 62704-6924
Phone
(217) 726-8096
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 78945 MN
Diagnostic Radiology Physician 2085R0202X 036146138 IL Primary
Diagnostic Radiology Physician 2085R0202X 2017011826 MO

Addresses

Primary practice location

3050 Montvale Dr Ste a
Springfield, IL 62704-6924

Mailing address

3050 Montvale Dr Ste a
Springfield, IL 62704-6924
Phone (217) 726-8096

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690

Other practice location 2

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690

Other practice location 3

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL
1821350455MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address goulda@clinicalradiologist.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, MN, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170525001063 MO Practitioner - Diagnostic Radiology 1254560725 Reassigns benefits to 3 organizations
I20181112000770 IL Practitioner - Diagnostic Radiology 1254560725
I20250303002775 MN Practitioner - Interventional Radiology 1254560725 Reassigns benefits to 9 organizations
I20250624003093 ND Practitioner - Interventional Radiology 1254560725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology CharteredGroup PAC ID 1557394988, 39 clinicians
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1070 N Noyes Blvd
Saint Joseph, MO 64506-2843
Phone (920) 499-1428

1230 E Main St
Mankato, MN 56001-5066
Phone (507) 389-8509

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

1650 4TH St SE
Rochester, MN 55904-4700
Phone (507) 285-8485

Saint Louis, MO 63124-1625
Phone (612) 573-2200

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

913 E 26TH St
Minneapolis, MN 55404-4515
Phone (612) 863-3150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78945MNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madelia Health Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Allina Health System CurrentSince Apr 1, 2025 Accepting new patients
Radiology Chartered Diagnostic Radiology CurrentSince Dec 5, 2025 Accepting new patients
St. Francis Regional Medical Center CurrentSince Apr 1, 2025 Accepting new patients
St Francis Regional Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Allina Health System CurrentSince Apr 1, 2025 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Mercy Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Apr 1, 2025 Accepting new patients
Mercy Home Care CurrentSince Jun 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Allina Health System Current Accepting new patients
Olmsted Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Allina Health System CurrentSince Apr 1, 2025 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients
Schuyler County Hospital District Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

913 E 26th St
Ste 402
Minneapolis, MN 55404
Phone (612) 845-6212

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

100 Medical Dr
Hannibal, MO 63401

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

1789 Shawano Ave
Green Bay, WI 54303

Organizations & group practices 21

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 21

Hospital & facility affiliations 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1821350455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MONTVALE DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046924",
            "telephone_number": "217-726-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MONTVALE DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046924",
            "telephone_number": "217-726-8096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7595 Anagram Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447399",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "AARON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "78945",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036146138",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2017011826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821350455",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "goulda@clinicalradiologist.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3050 Montvale Dr Ste A",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627046924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.