Active NPI
John D Rhoades, M.D.
- Family Medicine Physician
- Burnsville, MN
National Provider Identifier
1376512905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21858
- Practice address
- 625 E Nicollet Blvd
Suite 100
Burnsville, MN 55337-6734 - Phone
- (952) 435-0303
- Fax
- (952) 892-5166
- NPI assigned
- Mar 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21858 | MN | Primary |
Addresses
Primary practice location
625 E Nicollet Blvd
Suite 100
Burnsville, MN 55337-6734
Mailing address
625 E Nicollet Blvd
Suite 100
Burnsville, MN 55337-6734
Phone (952) 435-0303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56584RH | Other | BCBS OF MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burnsville Family Physicians, P.a. | Family Medicine | Current | Accepting new patients |
Locations
625 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (612) 435-0313
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Burnsville, MN
- NPI 1447229448
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1376512905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E NICOLLET BLVD",
"address_2": "SUITE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376734",
"telephone_number": "952-435-0303",
"fax_number": "952-892-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E NICOLLET BLVD",
"address_2": "SUITE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376734",
"telephone_number": "952-435-0303",
"fax_number": "952-892-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADES",
"first_name": "JOHN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "21858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "56584RH",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.