Active NPI
Charles P Reznikoff, MD
- Addiction Medicine (Internal Medicine) Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 48516
- Practice address
- 914 S 8TH St
Minneapolis, MN 55404-1204 - Phone
- (612) 873-5500
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 48516 | MN | Primary |
Addresses
Primary practice location
914 S 8TH St
Minneapolis, MN 55404-1204
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Phone (763) 873-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- University of Wisconsin School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 N Ave
Northfield, MN 55057-1498
Phone (507) 646-1494
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northfield Hospital | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Northfield Hospital | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Faculty Associates | Past | Accepting new patients |
Locations
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500
914 S 8th St
Ste D4
Minneapolis, MN 55404
Phone (612) 347-3744
701 Park Ave
#G5
Minneapolis, MN 55415
Phone (612) 873-4455
914 S 8th St
Minneapolis, MN 55404
Phone (612) 347-5320
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- Clinic/Center
- Minneapolis, MN
- NPI 1528361573
-
- Urgent Care Clinic/Center
- Northfield, MN
- NPI 1437668159
-
- Durable Medical Equipment & Medical Supplies
- Minneapolis, MN
- NPI 1932274164
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1013952175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623",
"telephone_number": "763-873-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 S 8TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041204",
"telephone_number": "612-873-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNIKOFF",
"first_name": "CHARLES",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "MN",
"license": "48516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.