Individual provider Active NPI

Salvatore Versaggi, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1912399288
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
87534 Issued in GA
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Feb 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29471 NE
Diagnostic Radiology Physician 2085R0202X 87534 GA Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210819001099 GA Practitioner - Diagnostic Radiology 7810392479 Reassigns benefits to 4 organizations
I20230601001143 NY Practitioner - Diagnostic Radiology 7810392479 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Virtual Radiologic Professionals of New York PAGroup PAC ID 9335244169, 27 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

New York, NY 10017
Phone (404) 851-6577

West Point, NY 10996
Phone (866) 722-1655

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 986-2276

304 Wilby PL
Apt C
West Point, NY 10996-1256
Phone (352) 351-7200

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29471NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince May 31, 2023 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Aug 15, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Stern, Drake, Isbell & Associates, PA Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 10, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince May 31, 2023 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

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

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

127 North St
Batavia, NY 14020
Phone (585) 267-7510

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Networks

  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 13

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 13

Hospital & facility affiliations 7

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1912399288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "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": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSAGGI",
        "first_name": "SALVATORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "29471",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "87534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.