SAMUEL JANG MD
NPI 1023515160
Radiology - Diagnostic Radiology in Roseville, MN

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
2355 HWY 36 W, STE. 100, ROSEVILLE, MN 55113(651) 292-2000 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2025, Jul 8, 2024, Aug 25, 2020 and 3 more (6 updates tracked since 2019).

About Samuel Jang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL JANG MD (NPI 1023515160) is an individual diagnostic radiology provider in Roseville, Minnesota, licensed in Minnesota (66594) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1023515160
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSAMUEL JANGCredential: MD
Location Address2355 HWY 36 W, STE. 100Roseville, MN 55113-3905
Mailing Address2355 Hwy 36 W, Ste. 100Roseville, MN 55113-3905 · (651) 292-2000
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateSeptember 3, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1023515160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MN · 66594✔ Licensed in WI · 85203-20✔ Licensed in ND · 22188
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2355 HWY 36 W, Roseville, MN 55113

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Jang Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183975691
PECOS Enrollment IDI20200521002748, I20250717001059, I20250918001166
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

27

Medicare enrollment records show Samuel Jang reassigns Medicare billing to 27 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
2355 HWY 36 W., STE. 100
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 218 clinicians in this Medicare group
Radiology
2355 HWY 36 W., STE. 100
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 219 clinicians in this Medicare group
Family Medicine
400 STINSON BLVD, PROVIDER ENROLLMENT
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Physical Therapy
2600 39TH AVE NE, STE 220
Minneapolis, MN 55421
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Sleep Disorder Diagnostic
1010 BANDANA BLVD W, STE 236
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1023314804 (Minnesota), NPI 1407395247 (Wisconsin)
  • 2,609 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 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 2

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
38 services32 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
2355 HWY 36 W, STE. 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HWY 36 W, STE. 100
ROSEVILLE, MN 55113
Nurse Practitioner (Family)
2355 HWY 36 W, STE. 100
ROSEVILLE, MN 55113
Physician Assistant
2355 HWY 36 W, STE. 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HWY 36 W, STE. 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HWY 36 W, STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HWY 36 W, STE. 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HWY 36 W, STE. 100
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 Samuel Jang's NPI number?

The NPI number for Samuel Jang is 1023515160. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Samuel Jang located?

Samuel Jang practices at 2355 Hwy 36 W Ste. 100, Roseville, MN 55113. The listed phone number is (651) 292-2000.

What is Samuel Jang's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Samuel Jang enrolled in Medicare?

Yes. Samuel Jang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Jang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Jang reassigns Medicare benefits to 27 organizations: Midwest Radiology, PA (Roseville, MN), Suburban Imaging, LLC (Roseville, MN), Fairview Clinics (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and 22 more organizations, listed in the Medicare section above. 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 Samuel Jang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Jang accept?

Health plans from Avera Health Plans and Blue Cross Blue Shield of North Dakota list Samuel Jang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Jang affiliated with any hospitals?

According to CMS data, Samuel Jang is affiliated with Allina United Hospital, Regions Hospital, M Health Fairview St John's Hospital, M Health Fairview Woodwinds Hospital and Altru Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Jang was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.