Individual provider Active NPI

Craig Paul Rodriguez, MD

  • Diagnostic Radiology Physician
  • St. Paul, MN
National Provider Identifier
1467667774
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
63830 Issued in MN
Practice address
250 Thompson St.
St. Paul, MN 55102-2370
Phone
(651) 292-2000
Fax
(651) 292-2136
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 63830 MN Primary

Addresses

Primary practice location

250 Thompson St.
St. Paul, MN 55102-2370

Mailing address

166 4TH St. E.
Ste. 100
St. Paul, MN 55101-1421
Phone (651) 292-2000

Other identifiers 1

IdentifierTypeStateIssuer
1467667774MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, ND3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180621000799 MN Practitioner - Diagnostic Radiology 7618021429 Reassigns benefits to 24 organizations
I20180621001111 WI Practitioner - Diagnostic Radiology 7618021429 Reassigns benefits to 4 organizations
I20220916001065 ND Practitioner - Diagnostic Radiology 7618021429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Grand Itasca Clinic and HospitalGroup PAC ID 8123939550, 328 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Pembina County Memorial Hospital AssociationGroup PAC ID 4789643719, 142 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Midwest Radiology Outpatient Imaging LLCGroup PAC ID 3870495591, 133 clinicians
St. Joseph'S Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians
Suburban Imaging LLCGroup PAC ID 4688564867, 142 clinicians

Practice addresses (Care Compare)

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6430

166 E 4TH St
Suite 100
St Paul, MN 55101-1421
Phone (651) 292-2000

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000

2450 Riverside Ave
Minneapolis, MN 55454-1450

250 Thompson St
Saint Paul, MN 55102-2370
Phone (651) 292-2000

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

750 E 34TH St
Hibbing, MN 55746-4600
Phone (218) 262-4881

8990 Springbrook Dr NW
Suite 140
Coon Rapids, MN 55433-5880
Phone (763) 792-1900

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Hospital & facility affiliations

  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63830MNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
Fairview Clinics CurrentSince Oct 15, 2019 Accepting new patients
Ridgeview Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Feb 2, 2025 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 15, 2019 Accepting new patients
Fairview Clinics Current Accepting new patients
Allina Health System CurrentSince Jun 1, 2018 Accepting new patients
Allina Health System CurrentSince Jun 1, 2018 Accepting new patients
Madison Healthcare Services CurrentSince Apr 19, 2024 Accepting new patients
Towner County Medical Center Inc CurrentSince Jul 1, 2018 Accepting new patients
P R Health Corporation CurrentSince May 1, 2022 Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
The Duluth Clinic LTD CurrentSince May 25, 2025 Accepting new patients
William Noyes, MD PC CurrentSince Jan 2, 2026 Accepting new patients
P R Health Corporation CurrentSince May 1, 2022 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Dec 7, 2022 Accepting new patients
Allina Health System CurrentSince Jun 1, 2018 Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Dec 7, 2022 Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Allina Health System Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince May 25, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 15, 2019 Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 1, 2018 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 20, 2023 Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Jul 1, 2018 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jul 15, 2019 Accepting new patients
Suburban Imaging, LLC CurrentSince Mar 1, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Fairview Clinics CurrentSince Aug 30, 2022 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Altru Health System CurrentSince Feb 23, 2019 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 15, 2024 Accepting new patients
Fairview Health Services CurrentSince Oct 15, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Aug 30, 2022 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Altru Health System CurrentSince Feb 23, 2019 Accepting new patients
Range Regional Health Services CurrentSince Feb 2, 2025 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Range Regional Health Services Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Mar 1, 2019 Accepting new patients
Osu Radiology LLC Diagnostic Radiology PastSince Oct 1, 2005 Accepting new patients

Locations (25 of 50)

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

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

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

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

2945 Hazelwood St
Ste 110
Maplewood, MN 55109

8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

Organizations & group practices 55

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 55

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1467667774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 4TH ST. E.",
            "address_2": "STE. 100",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551011421",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 THOMPSON ST.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551022370",
            "telephone_number": "651-292-2000",
            "fax_number": "651-292-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CRAIG",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "63830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467667774",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, MN

Sources for this page

Verify at the official NPI Registry.