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TARA DOYLE TREDENNICK M.D.
NPI 1801092119
Radiology - Diagnostic Radiology in Edina, MN

Active since June 23, 2007PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
3600 MINNESOTA DR STE 800, EDINA, MN 55435(952) 595-1100 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tara Doyle Tredennick M.d. NPPES

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

TARA DOYLE TREDENNICK M.D. (NPI 1801092119) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Arizona (45747) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Monadnock Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801092119
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameTARA DOYLE TREDENNICKCredential: M.D.
Location Address3600 MINNESOTA DR STE 800Edina, MN 55435-7915
Mailing Address3600 Minnesota Dr Ste 800Edina, MN 55435-7915 · (952) 595-1100
Phone(952) 595-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 23, 2007
Last NPPES UpdateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1801092119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in AZ · 45747✔ Licensed in CO · DR.0054036
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT190102 (PA)
3600 MINNESOTA DR STE 800, Edina, MN 55435
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000
Location 22525 S Downing StDenver, CO 80210-5817 · Phone (720) 922-6240 · Fax (720) 922-6241

Other Identifiers 1

Medicaid719989AZ

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

Tara Doyle Tredennick M.d. 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 ID9931356078
PECOS Enrollment IDI20140923002183
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

7

Medicare enrollment records show Tara Tredennick reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtual Radiologic Professionals, LLC
Same address
Diagnostic Radiology
3600 MINNESOTA DR STE 800
Edina, MN 55435
  • Reassigned Medicare billing, Colorado enrollment
  • 28 clinicians in this Medicare group
NPI 1932342029 (952) 595-1301
Lakewood Health System
124 mi
Critical Access
49725 COUNTY 83
Staples, MN 56479
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
NPI 1295726362 (218) 894-1515
County Of Murray
135 mi
Critical Access
2042 JUNIPER AVE
Slayton, MN 56172
  • Reassigned Medicare billing, Minnesota enrollment
  • 87 clinicians in this Medicare group
NPI 1053497214 (507) 836-1277
Portercare Adventist Health System
555 mi
Orthopaedic Surgery of the Spine
235 W FLETCHER ST
Haxtun, CO 80731
  • Reassigned Medicare billing, Colorado enrollment
  • 733 clinicians in this Medicare group
NPI 1013526144 (303) 925-4540
Crouse Radiology Associates LLP
865 mi
Diagnostic Radiology
736 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, Colorado enrollment
  • 6 clinicians in this Medicare group
NPI 1447244587 (315) 470-7551
Monadnock Community Hospital
1,074 mi
Diagnostic Radiology
452 OLD STREET RD
Peterborough, NH 03458
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
NPI 1063364768 (603) 924-7191
Salt River Pima-Maricopa Indian Community
1,262 mi
Community Health
10005 E OSBORN RD
Scottsdale, AZ 85256
  • Reassigned Medicare billing, Texas enrollment
  • 147 clinicians in this Medicare group
NPI 1942668991 (480) 362-7400

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 9

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
506 services506 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
501 services501 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
297 services296 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
81 services75 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
50 services45 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
44 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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.

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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

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.

CHRISTOPHER CALIXTE MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100
PAUL D GUISLER MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
KRISHNA VAIDYANATHAN IYER M.D.
Radiology (Vascular & Interventional Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100
RATI NARENDRA PATEL MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
SUSANNE S. KIM M.D.
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
GWENDOLYN DURGIN MD
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1301
ROBERT L EDWARDS M.D.
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100
STEPHEN GEORGE FOX M.D.
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Hennepin County (952) 595-1100

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 Tara Tredennick's NPI number?

The NPI number for Tara Tredennick is 1801092119. It was assigned to this individual provider in the NPPES registry on June 23, 2007.

Where is Tara Tredennick located?

Tara Tredennick practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1100.

What is Tara Tredennick's specialty?

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

Is Tara Tredennick enrolled in Medicare?

Yes. Tara Tredennick 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 Tara Tredennick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Tredennick reassigns Medicare benefits to 7 organizations: Virtual Radiologic Professionals, LLC (Edina, MN), Lakewood Health System (Staples, MN), County Of Murray (Slayton, MN), Portercare Adventist Health System (Haxtun, CO), Crouse Radiology Associates LLP (Syracuse, NY) and 2 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 Tara Tredennick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tara Tredennick affiliated with any hospitals?

According to CMS data, Tara Tredennick is affiliated with Monadnock Community Hospital, Guthrie Cortland Regional Medical Center and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Tara Tredennick was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.