Individual provider Active NPI

Mark L Rodkey, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Minneapolis, MN
National Provider Identifier
1508803289
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
79992 Issued in MN
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(612) 672-6000
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N4706 TX
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 79992 MN Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X N4706 TX
Personal Emergency Response Attendant 146D00000X 35064164 OH
Pediatrics Physician 208000000X N4706 TX

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

405 Timberidge TRL
Gates Mills, OH 44040-9712

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2078

Other practice location 2

6780 Mayfield Rd
Mayfield Hts, OH 44124-2203
Phone (216) 449-4500

Other identifiers 2

IdentifierTypeStateIssuer
0968145MedicaidOH
942460636138OtherOHCARESOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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
I20100813000885 TX Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7214949742 Reassigns benefits to 11 organizations
I20230117002927 OH Practitioner - Pediatric Medicine 7214949742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064164OHMDPersonal Emergency Response Attendant
N4706TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Sep 27, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Pediatrics Current Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Mar 1, 2018 Accepting new patients
Rio Valley Emergency Physician Associates PLLC Emergency Medicine CurrentSince Mar 31, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Sep 27, 2024 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 15, 2014 Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2025 Accepting new patients
Pediatric Emergency Medicine Group LLP Emergency Medicine CurrentSince Sep 17, 2020 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Sep 1, 2025 Accepting new patients
Nueces Emergency Medicine Associates PA Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Sep 9, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Sep 1, 2025 Accepting new patients
Bexar Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2025 Accepting new patients
Questcare Medical Services PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince May 19, 2025 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations (25 of 28)

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

11100 Euclid Ave
Cleveland Heights, OH 44106

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

Interoperability endpoints

  • Direct secure messaging: mark.rodkey@direct.myhealthep.org
  • Direct secure messaging: mrodkey420506@christushealth.direct-ci.net

Organizations & group practices 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1508803289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TIMBERIDGE TRL",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-2078",
            "fax_number": "210-358-1972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6780 Mayfield Rd",
            "address_purpose": "LOCATION",
            "city": "Mayfield Hts",
            "state": "OH",
            "postal_code": "441242203",
            "country_code": "US",
            "telephone_number": "216-449-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODKEY",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N4706",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MN",
            "license": "79992",
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "N4706",
            "primary": false
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "OH",
            "license": "35064164",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N4706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0968145",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636138",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.