Individual provider Active NPI

Mark Wesley Reckson, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1588710487
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-9398 Issued in HI
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Jan 25, 2007
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD-9398 HI Primary
Diagnostic Radiology Physician 2085R0202X G75490 CA
Diagnostic Radiology Physician 2085R0202X ME75328 FL

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, HI3 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
I20050810000517 WA Practitioner - Diagnostic Radiology 6507895505 Reassigns benefits to 1 organization
I20100506000161 TX Practitioner - Diagnostic Radiology 6507895505 Reassigns benefits to 7 organizations
I20150818005549 HI Practitioner - Diagnostic Radiology 6507895505 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Georgia Magnetic Imaging Center LTDGroup PAC ID 0042205775, 39 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
West Florida Radiology Associates PAGroup PAC ID 0941224612, 33 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Radiology Associates of Macon PCGroup PAC ID 7113817701, 64 clinicians
Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

1357 Kapiolani Blvd
Suite 830
Honolulu, HI 96814-4534
Phone (832) 355-4112

1765 Ala Moana Blvd
Apt 784
Honolulu, HI 96815-1400
Phone (952) 595-1100

585 Kaneapu PL
Kailua, HI 96734-3132
Phone (317) 805-4093

585 Kaneapu PL
Kailua, HI 96734-3195
Phone (952) 595-1100

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75490CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Oct 2, 2020 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Georgia Magnetic Imaging Center LTD Diagnostic Radiology CurrentSince Aug 30, 2023 Accepting new patients
Central Georgia MRI LLC Diagnostic Radiology CurrentSince Aug 30, 2023 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Pacific County Hospital District 2 Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 30, 2020 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 24, 2020 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 1, 2016 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Oct 12, 2020 Accepting new patients
Ton Sells Hospital CurrentSince Apr 1, 2014 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Ton San Simon Health Center CurrentSince Mar 1, 2016 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 2, 2020 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology CurrentSince Aug 30, 2023 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 15, 2019 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 30, 2020 Accepting new patients
Donalsonville Hospital Inc CurrentSince Oct 1, 2021 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Sep 16, 2020 Accepting new patients
North Georgia Radiology CurrentSince Aug 1, 2022 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Empire Health Services Past Accepting new patients
Georgia Telerad LLC Diagnostic Radiology Past Accepting new patients
Western Regional Medical Center, Inc. Past Accepting new patients
Florida Telerad LLC Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology Past Accepting new patients
Sutter East Bay Medical Foundation Diagnostic Radiology Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

1357 Kapiolani Blvd
Ste 830
Honolulu, HI 96814

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/1e652adb-d6d8-4094-bdfc-81d32d2a7070

Organizations & group practices 39

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 39

Hospital & facility affiliations 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1588710487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECKSON",
        "first_name": "MARK",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD-9398",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G75490",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME75328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.