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

Dr. Jon Michael Lewis, MD

Individual provider Diagnostic Radiology Physician · NPI 1053583401

Dr. Jon Michael Lewis, MD is a Diagnostic Radiology in Edina, Minnesota. Graduated from Eastern Virginia Medical School in 2002, 24 years ago. Practices with Southern Delaware Imaging Assoc, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
24
Trained at
Eastern Virginia Medical School
Licensed in
NY, PA
In the registry since
2008
Specialties on file
3
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)

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 — (845) 454-8500

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 243307 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD480612 (PA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 243307 (NY)

Record details

NPI number1053583401
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2008
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Group practice Southern Delaware Imaging Assoc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

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