JOHN P KNOEDLER JR. MD
NPI 1023097078
Radiology - Diagnostic Radiology in Roseville, MN
About John P Knoedler Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P KNOEDLER JR. MD (NPI 1023097078) is an individual diagnostic radiology provider in Roseville, Minnesota, licensed in Minnesota (24320) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Minnesota Medical School (1977).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John P Knoedler Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show John Knoedler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55407
- Reassigned Medicare billing, Wisconsin enrollment
- 530 clinicians in this Medicare group
Madison, MN 56256
- Reassigned Medicare billing, Minnesota enrollment
- 215 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, Minnesota enrollment
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeview Memorial Hospital
Acute Care Hospitals · Stillwater, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNAmery Hospital & Clinic
Critical Access Hospitals · Amery, WIWestfields Hospital And Clinic
Critical Access Hospitals · New Richmond, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Knoedler's NPI number?
The NPI number for John Knoedler is 1023097078. It was assigned to this individual provider in the NPPES registry on January 10, 2006.
Where is John Knoedler located?
John Knoedler practices at 2355 Highway 36 W Ste 100, Roseville, MN 55113. The listed phone number is (651) 292-2000.
What is John Knoedler's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is John Knoedler enrolled in Medicare?
Yes. John Knoedler is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Knoedler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Knoedler reassigns Medicare benefits to 3 organizations: Allina Health System (Minneapolis, MN), Madison Healthcare Services (Madison, MN) and William Noyes, MD PC (Grand Forks, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Knoedler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Knoedler affiliated with any hospitals?
According to CMS data, John Knoedler is affiliated with Lakeview Memorial Hospital, Regions Hospital, Amery Hospital & Clinic and Westfields Hospital And Clinic.
When was this NPI record last updated?
The NPPES record for John Knoedler was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John P Knoedler Jr., MD · NPI 1023097078
Diagnostic Radiology physician in Roseville, Minnesota. Individual provider, active in the CMS NPPES registry since January 10, 2006.
## Identity
- **NPI:** 1023097078 (Entity type: Individual)
- **Enumerated:** January 10, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 24320 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2355 HIGHWAY 36 W, STE 100, Roseville, MN 55113-3905
- **Phone:** (651) 292-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1205069325, Minneapolis, MN); Madison Healthcare Services (NPI 1942246848, Madison, MN); William Noyes, MD PC (NPI 1245332311, Grand Forks, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1977
## Record status
- **NPPES last updated:** July 19, 2021
- **Other identifiers:** Medicaid 574063100 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1023097078) · Data from the CMS NPPES public registry.