THOMAS W PELTOLA MD
NPI 1861484040
Radiology - Diagnostic Radiology in Robbinsdale, MN

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422(763) 559-2171(763) 694-9000 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas W Peltola Md NPPES

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

THOMAS W PELTOLA MD (NPI 1861484040) is an individual diagnostic radiology provider in Robbinsdale, Minnesota, licensed in Minnesota (33813) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Albany Medical College Of Union University (1984).

NPPES Registry Identity

NPI1861484040
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHOMAS W PELTOLACredential: MD
Location Address3300 OAKDALE AVE NRobbinsdale, MN 55422-2926
Mailing Address2800 Campus Dr, #10Plymouth, MN 55441-2645 · (763) 559-2171 · Fax (763) 694-9000
Fax(763) 694-9000
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1984
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1861484040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MN · 33813✔ Licensed in CA · G200212
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 33813 (MN)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 33813 (MN)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 33813 (MN)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 33813 (MN)
3300 OAKDALE AVE N, Robbinsdale, MN 55422

Secondary Practice Location 1

Location 139000 Bob Hope DrRancho Mirage, CA 92270-3221 · Phone (760) 674-3850

Other Identifiers 1

Medicaid810702500MN

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

Thomas W Peltola 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 ID8628067279
PECOS Enrollment IDI20241213002981
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 Reassignment

Medicare enrollment records show Thomas Peltola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
39000 BOB HOPE DR
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 80 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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.

Nurse Practitioner (Family)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Physical Medicine & Rehabilitation
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Family Medicine
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Radiology (Diagnostic Radiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Pathology (Anatomic Pathology & Clinical Pathology)
3300 OAKDALE AVE N
MINNEAPOLIS, MN 55422
Internal Medicine (Cardiovascular Disease)
3300 OAKDALE AVE N, #200
MINNEAPOLIS, MN 55422
Internal Medicine (Interventional Cardiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Nurse Practitioner
3300 OAKDALE AVE N, SUITE 200
MINNEAPOLIS, MN 55422

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 Thomas Peltola's NPI number?

The NPI number for Thomas Peltola is 1861484040. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Thomas Peltola located?

Thomas Peltola practices at 3300 Oakdale Ave N, Robbinsdale, MN 55422. The listed phone number is (763) 559-2171.

What is Thomas Peltola's specialty?

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

Is Thomas Peltola enrolled in Medicare?

Yes. Thomas Peltola 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 organization bills Medicare for Thomas Peltola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Peltola reassigns Medicare benefits to Palm Desert Radiology Medical Group, Inc (Rancho Mirage, CA). The 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 Thomas Peltola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Peltola was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.