NPIMap

Individual provider Active NPI

Douglas Paul Caldwell, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1982682209
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
64827 Issued in MN
Practice address
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone
(612) 573-2200
Fax
(612) 573-2274
NPI assigned
Jan 6, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00042409 WA
Diagnostic Radiology Physician 2085R0202X 12348 ID
Diagnostic Radiology Physician 2085R0202X 64827 MN Primary

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

Other practice location 1

19020 33rd Ave W
Suite 210
Lynnwood, WA 98036-4746
Phone (425) 563-1500

Other identifiers 5

IdentifierTypeStateIssuer
1982682209MedicaidID
172345OtherWAL&I PROVIDER NUMBER
8361081MedicaidWA
184435OtherWAL&I PROVIDER NUMBER
172074OtherWAL&I PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ME, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181217000219 MN Practitioner - Diagnostic Radiology 9537052659 Reassigns benefits to 9 organizations
I20220624001768 ME Practitioner - Diagnostic Radiology 9537052659 Reassigns benefits to 1 organization
I20240124004680 ND Practitioner - Diagnostic Radiology 9537052659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Mercy Medical CenterGroup PAC ID 7416851381, shared by 2 NPIs, 78 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Warren Community Hospital IncGroup PAC ID 2264408566, 30 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

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

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

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

300 W Good Samaritan Dr
Warren, MN 56762-1412
Phone (218) 745-4211

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

Brunswick, ME 04011-2983
Phone (612) 573-2200

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

800 E 28TH St
Suite H2100
Minneapolis, MN 55407-3723
Phone (612) 863-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12348IDMDDiagnostic Radiology Physician
64827MNMDDiagnostic Radiology Physician
MD00042409WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Allina Health System Current Accepting new patients
St Francis Regional Medical Center CurrentSince Jan 1, 2019 Accepting new patients
St. Francis Regional Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Jun 18, 2019 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Jan 1, 2019 Accepting new patients
Allina Health System CurrentSince Jan 1, 2018 Accepting new patients
Mercy Medical Center Current Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Mercy Home Care CurrentSince Jan 1, 2024 Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Madelia Health Current Accepting new patients
Allina Health System CurrentSince Jan 1, 2018 Accepting new patients
Olmsted Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Quest Diagnostics LLC Il PastSince Jan 1, 2019 Accepting new patients
Open MRI of Federal Way, L.L.C. Past Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

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

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

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

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

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

1324 5th St N
New Ulm, MN 56073
Phone (507) 217-5000

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

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

1600 E Jefferson St
Seattle, WA 98122
Phone (206) 320-3700

Organizations & group practices 23

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 23

Hospital & facility affiliations 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1982682209",
    "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": [
        {
            "address_1": "19020 33rd Ave W",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364746",
            "country_code": "US",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00042409",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "12348",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "64827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982682209",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "172345",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8361081",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "184435",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "172074",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.