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

Jason Itri

Individual provider Diagnostic Radiology Physician · NPI 1740487909

Jason Itri is a Diagnostic Radiology in Eden Prairie, Minnesota. Qualified in 2006, 20 years ago. Practices with Kettering Network Radiologists Inc, a 75-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Licensed in
VA
In the registry since
2007
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Practice location Address checks out

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101259633 (VA)

Record details

NPI number1740487909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESMay 24, 2021
Certification dateDecember 9, 2019
Mailing address11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Kettering Network Radiologists Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eden Prairie