Active NPI
Mark Wesley Reckson, M.D.
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD-9398
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G75490 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Atlantic Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Angelina Diagnostic Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Georgia Magnetic Imaging Center LTD | Diagnostic Radiology | Current | Accepting new patients |
| Central Georgia MRI LLC | Diagnostic Radiology | Current | Accepting new patients |
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Atlantic Radiology Associates, LLC | Diagnostic Radiology | Current | 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 | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Claremont Imaging Associates, a Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Radiology Associates of Macon PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Donalsonville Hospital Inc | Current | Accepting new patients | |
| Synergy Radiology Associates PLLC | Current | Accepting new patients | |
| North Georgia Radiology | Current | 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 | Past | 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
- casacolina@direct.casacolina.org
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
HI
-
dba Eisenhower Radiology Medical Group, Inc
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
HI
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
HI
-
dba ADRA Medical Imaging
- Diagnostic Radiology Physician
- Lufkin, TX
- NPI 1033175302
HI
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
-
dba Woodland Heights Medical Center
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.