JONATHAN J. SUDBERRY M.D. NPI 1700865193

NPI Information

  • NPI: 1700865193
  • Provider Name: JONATHAN J. SUDBERRY, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6500 EXCELSIOR BLVD
    METHODIST HOSPITAL, 2ND FLOOR RADIOLOGY
    ST LOUIS PARK, MN
    ZIP 55426
  • Phone: (952) 993-0349

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NPI Details

Jonathan J. Sudberry, M.D. is a diagnostic radiology radiology in St Louis Park, MN with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jonathan J. Sudberry, M.D. NPI is 1700865193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

6500 EXCELSIOR BLVD
METHODIST HOSPITAL, 2ND FLOOR RADIOLOGY
ST LOUIS PARK, MN
ZIP 55426-702
Phone: (952) 993-0349

The NPI 1700865193 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)

The enumeration date for this NPI number is 1/13/2006 and was last updated on 7/8/2007.

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 Radiology48060MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300003738MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2852658300MEDICAIDMINNESOTA
3I36734MEDICARE UPIN

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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