Individual provider Active NPI

Robert Christopher Rothaar, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Maple Grove, MN
National Provider Identifier
1568442853
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
42056 Issued in MN
Practice address
6550 Fountain LN N
Maple Grove, MN 55311-3764
Phone
(617) 983-9064
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 42056 MN Primary

Addresses

Primary practice location

6550 Fountain LN N
Maple Grove, MN 55311-3764

Mailing address

6550 Fountain LN N
Maple Grove, MN 55311-3764
Phone (617) 699-2594

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060727000171 MN Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3870527369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Mayo Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Respiratory Consultants PAGroup PAC ID 6204736853, 22 clinicians

Practice addresses (Care Compare)

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

3366 Oakdale Ave N
Suite 605
Robbinsdale, MN 55422-2948
Phone (763) 520-2940

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Hospital of Minneapolis, LLC CurrentSince Oct 11, 2015 Accepting new patients
North Memorial Health Care CurrentSince Aug 1, 2018 Accepting new patients
Respiratory Consultants PA CurrentSince Sep 1, 2018 Accepting new patients
North Memorial Health Care CurrentSince Aug 1, 2018 Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

3366 Oakdale Ave N
Ste 605
Robbinsdale, MN 55422
Phone (612) 561-5986

3300 Oakdale Ave N
#200
Robbinsdale, MN 55422
Phone (763) 520-2001

3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1110 7th Ave
Cumberland, WI 54829
Phone (715) 822-2741

Interoperability endpoints

  • Direct secure messaging: rrothaar129712@direct.northmemorial.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1568442853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FOUNTAIN LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113764",
            "telephone_number": "617-699-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FOUNTAIN LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113764",
            "telephone_number": "617-983-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHAAR",
        "first_name": "ROBERT",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "42056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.