Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jacob Waxman, MD

Individual provider Diagnostic Radiology Physician · NPI 1972946937

Jacob Waxman, MD practises Diagnostic Radiology in Roseville, Minnesota. Qualified in 2013, 13 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2013
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

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905 — (507) 293-3680

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 58490 (MN)

Record details

NPI number1972946937
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,726
Services billed 16,307 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Chippewa County Hospital Hospital · Montevideo, MN · listed as Chippewa County Montevideo Hospital Dmerc
  • Buffalo Hospital Hospital · Buffalo, MN
  • M Health Fairview Ridges Hospital Hospital · Burnsville, MN
  • M Health Fairview Southdale Hospital Hospital · Edina, MN
  • Mercy Hospital Hospital · Coon Rapids, MN

Colleagues at Grand Itasca Clinic and Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 325 clinicians in the practice; 12 are shown here.

Other providers in Roseville