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

Dr. Jason Kyle Roth, MD

Individual provider Diagnostic Radiology Physician · NPI 1386976207

Dr. Jason Kyle Roth, MD is a Diagnostic Radiology in Edina, Minnesota. Graduated from University of Tennessee, Hsc, College of Medicine in 2006, 20 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
20
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MT
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Integra Imaging Ps, Hamilton, MT 59840-0000 — (615) 452-9470

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 81153 (MT)

Record details

NPI number1386976207
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2010
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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