Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cory Lewis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699092445

Cory Lewis is a Diagnostic Radiology in Roseville, Minnesota. Qualified in 2010, 16 years ago. Practices with Suburban Imaging LLC, a 143-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2010
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4801 W 81st St, Bloomington, MN 55437-1111 — (952) 837-9700
  • 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 — (763) 780-9155
  • 250 Thompson St, Saint Paul, MN 55102-2370 — (651) 292-2000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 60495 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699092445
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address2355 Highway 36 W Ste 100, Roseville, MN 55113-3905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Suburban Imaging Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

Other providers in Roseville