Individual provider Active NPI

Mario James Juliano, MD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1902334758
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
76255 Issued in MN
Practice address
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone
(612) 573-2200
Fax
(612) 573-2274
NPI assigned
May 24, 2017
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X ME162318 FL
Diagnostic Radiology Physician 2085R0202X 76255 MN Primary
Diagnostic Radiology Physician 2085R0202X 77058 WI

Addresses

Primary practice location

7595 Anagram Dr
Eden Prairie, MN 55344-7399

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL, 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
I20220721003912 WI Practitioner - Diagnostic Radiology 1759762743 Reassigns benefits to 3 organizations
I20231101000800 FL Practitioner - Diagnostic Radiology 1759762743 Reassigns benefits to 1 organization
I20231114001719 MN Practitioner - Diagnostic Radiology 1759762743 Reassigns benefits to 11 organizations
I20251017000000 ND Practitioner - Diagnostic Radiology 1759762743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians

Practice addresses (Care Compare)

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

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
76255MNMDDiagnostic Radiology Physician
77058WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 4, 2023 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jul 12, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2022 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Allina Health System CurrentSince Oct 1, 2025 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Oct 1, 2025 Accepting new patients
Radiology Chartered Diagnostic Radiology CurrentSince Dec 5, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Fort Healthcare, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Mercy Home Care CurrentSince Oct 1, 2025 Accepting new patients
Allina Health System CurrentSince Oct 1, 2025 Accepting new patients
Mercy Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Madelia Health Current Accepting new patients
Allina Health System CurrentSince Oct 1, 2025 Accepting new patients
Olmsted Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
St Francis Regional Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Oct 1, 2025 Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients

Locations (25 of 26)

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

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

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

6525 France Ave S
Ste 110
Edina, MN 55435
Phone (952) 285-3720

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

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

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

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

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

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

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

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

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

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

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

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

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

1789 Shawano Ave
Green Bay, WI 54303
Phone (920) 494-2310

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 25

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 25

Hospital & facility affiliations 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1902334758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIANO",
        "first_name": "MARIO",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME162318",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "76255",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "77058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.