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

Timothy H Jan, DO

Individual provider Diagnostic Radiology Physician · NPI 1750775755

Timothy H Jan, DO is a Diagnostic Radiology in Eden Prairie, Minnesota. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2015, 11 years ago. Practices with Evergreen Radia LLC, a 116-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Colorado and Michigan.

Years since qualifying
11
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
CO, MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4660 S Hagadorn Rd Ste 510, East Lansing, MI 48823-6805 — (517) 353-5053
  • 4660 S Hagadorn Rd Ste 410, East Lansing, MI 48823-6819 — (517) 353-5053
  • 3220 Discovery Dr Ste 100, Lansing, MI 48910-8609 — (517) 975-8930

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence TL.0006273 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 5101025292 (MI)

Record details

NPI number1750775755
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
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 schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2015 (11 years in practice)
Group practice Evergreen Radia Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Eden Prairie