SAMUEL JANG MD NPI 1023515160

NPI Information

  • NPI: 1023515160
  • Provider Name: SAMUEL JANG, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2355 HWY 36 W
    STE. 100
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 292-2000

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NPI Details

Samuel Jang, MD is a diagnostic radiology radiology in Roseville, MN with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Samuel Jang, MD NPI is 1023515160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

2355 HWY 36 W
STE. 100
ROSEVILLE, MN
ZIP 55113-905
Phone: (651) 292-2000

The NPI 1023515160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 9/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology85203-20WISCONSINNo
22085R0202XRadiologyDiagnostic Radiology66594MINNESOTAYes
32085R0202XRadiologyDiagnostic Radiology22188NORTH DAKOTANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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