Active NPI
Richard Jennis, MD
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 150610
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Nov 15, 2005
- 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 | 150610 | MA | 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
795 Middle St
Fall River, MA 02721-1733
Phone (508) 996-3991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI, TX, MI, OH, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boone Memorial Hospital Inc
Practice addresses (Care Compare)
Providence, RI 02906
Phone (606) 439-1331
1705 Jackson St
Richmond, TX 77469-3246
Phone (479) 452-9416
1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246
41 Boylston Ave
Providence, RI 02906-2412
Phone (832) 915-2534
701 Madison Ave
Madison, WV 25130-1669
Phone (304) 369-1230
Hospital & facility affiliations
- Saint Anne'S Hospital
- Holy Family Hospital
- Univ. of Vermont - Fletcher Allen Health Care
- Central Vermont Medical Center
- Southwestern Vermont Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ton San Xavier Health Center | Current | Accepting new patients | |
| WRH Physicians, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Lifespan of Massachusetts - Taunton Inc | Current | Accepting new patients | |
| Lifespan of Massachusetts - Taunton Inc | Current | Accepting new patients | |
| Ascension Borgess Lee Hospital | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| T J Samson Community Hospital | Current | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
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
3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372
1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685
Interoperability endpoints
- rjennis46691@tuftsmedicine.direct-ci.com
Organizations & group practices 22
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.
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, RI
-
- Pain Medicine Physician
- Cuyahoga Falls, OH
- NPI 1700025459
-
- Diagnostic Radiology Physician
- Lufkin, TX
- NPI 1033175302
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
RI
-
- Anatomic Pathology & Clinical Pathology Physician
- Prestonsburg, KY
- NPI 1992367569
RI
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
RI
-
- Critical Access Hospital
- Dowagiac, MI
- NPI 1194771030
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
RI
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- Dartmouth, MA
- NPI 1821349317
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1891777975",
"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": "795 Middle St",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027211733",
"country_code": "US",
"telephone_number": "508-996-3991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNIS",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "150610",
"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 Jun 3, 2026; 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.