Individual provider Active NPI

Derek Nicholas Opp, DO

  • Pediatric Cardiology Physician
  • Rochester, MN
National Provider Identifier
1366947012
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
66102 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 66102 MN
Pediatric Cardiology Physician 2080P0202X 66102 MN Primary
Pediatrics Physician 208000000X 29188 MN

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511

Other practice location 1

205 Wabasha St S
Saint Paul, MN 55107-1805
Phone (952) 967-5584

Other practice location 2

2530 Chicago Ave Ste 500
Minneapolis, MN 55404-4291
Phone (612) 813-8800

Other practice location 3

3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dopp355994@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190806002043 MN Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Adult Congenital Heart Disease (Achd) 1456608090 Reassigns benefits to 10 organizations
I20251030001297 ND Practitioner - Pediatric Medicine 1456608090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Adult Congenital Heart Disease (Achd), Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Gillette Childrens Specialty HealthcareGroup PAC ID 0547169211, 99 clinicians
Children'S Health CareGroup PAC ID 2668370966, 76 clinicians

Practice addresses (Care Compare)

200 University Ave E
Saint Paul, MN 55101-2507
Phone (651) 291-2848

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (612) 813-6273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29188MNMDSocial Worker
66102MNMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health, LLC Current Accepting new patients
Lakewood Health System CurrentSince Nov 4, 2024 Accepting new patients
Mayo Clinic Current Accepting new patients
Group Health, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jul 1, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Childrens Health Care CurrentSince Feb 16, 2025 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jul 1, 2021 Accepting new patients
Innovis Health LLC CurrentSince Sep 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 25, 2019 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Sep 20, 2024 Accepting new patients
The Duluth Clinic LTD CurrentSince Sep 20, 2024 Accepting new patients
Park Nicollet Clinic Pediatrics CurrentSince Mar 13, 2025 Accepting new patients
Group Health, Inc. Current Accepting new patients
Innovis Health LLC CurrentSince Sep 1, 2025 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jul 1, 2021 Accepting new patients
Lakewood Health System CurrentSince Nov 4, 2024 Accepting new patients
Group Health, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 25, 2019 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Childrens Health Care Pediatrics CurrentSince Feb 16, 2025 Accepting new patients
Park Nicollet Clinic Pediatrics CurrentSince Mar 13, 2025 Accepting new patients
Cook County Hospital District CurrentSince Mar 4, 2026 Accepting new patients
Cook County Hospital District Past Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2530 Chicago Ave
Ste 500
Minneapolis, MN 55404
Phone (612) 813-8800

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1366947012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Wabasha St S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551071805",
            "country_code": "US",
            "telephone_number": "952-967-5584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2530 Chicago Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554044291",
            "country_code": "US",
            "telephone_number": "612-813-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 Louisiana Ave S",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554265000",
            "country_code": "US",
            "telephone_number": "952-993-3230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPP",
        "first_name": "DEREK",
        "middle_name": "NICHOLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "66102",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MN",
            "license": "66102",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "29188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dopp355994@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.