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

Jeffrey S Phelan, MD

Individual provider Diagnostic Radiology Physician · NPI 1497734123

Jeffrey S Phelan, MD is a Diagnostic Radiology in Roseville, Minnesota. Qualified in 1995, 31 years ago. Practices with Lutheran Charity Association, a 167-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
31
Licensed in
MN
In the registry since
2006
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.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 38889 (MN)

Record details

NPI number1497734123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lutheran Charity Association — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations24 on file with Medicare

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