Individual provider Active NPI

Rodrigo Rios, M.D.

  • Pediatric Cardiology Physician
  • Saint Paul, MN
National Provider Identifier
1619298155
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
62099 Issued in MN
Practice address
205 Wabasha St S
Saint Paul, MN 55107-1805
Phone
(952) 967-5584
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60580 WI
Pediatric Cardiology Physician 2080P0202X 62099 MN Primary

Addresses

Primary practice location

205 Wabasha St S
Saint Paul, MN 55107-1805

Mailing address

2530 Chicago Ave
Minneapolis, MN 55404-4289
Phone (612) 813-8800

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 2

3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3230

Other practice location 3

2530 Chicago Ave
Minneapolis, MN 55404-4289
Phone (612) 813-8800

Other names 1

  • Dr. Rodrigo Rios IV Professional name

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
I20180321000575 MN Practitioner - Pediatric Medicine 5294979746 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of North Dakota School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Children's Health CareGroup PAC ID 2668370966, 76 clinicians

Practice addresses (Care Compare)

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (612) 813-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62099MNMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic Pediatrics Current Accepting new patients
Group Health, Inc. Current Accepting new patients
Park Nicollet Clinic Pediatrics CurrentSince Mar 13, 2025 Accepting new patients
Cook County Hospital District CurrentSince Mar 4, 2026 Accepting new patients
Childrens Health Care Pediatrics Current Accepting new patients
Childrens Health Care CurrentSince Jan 14, 2018 Accepting new patients
Group Health, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Childrens Health Care CurrentSince Jan 14, 2018 Accepting new patients
Group Health, Inc. CurrentSince Mar 13, 2025 Accepting new patients
Childrens Health Care Past Accepting new patients
Cook County Hospital District Past Accepting new patients

Locations

515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1619298155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8800",
            "fax_number": "612-813-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WABASHA ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071805",
            "telephone_number": "952-967-5584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3931 Louisiana Ave S",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554265000",
            "country_code": "US",
            "telephone_number": "952-993-3230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2530 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554044289",
            "country_code": "US",
            "telephone_number": "612-813-8800",
            "fax_number": "612-813-8825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "60580",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MN",
            "license": "62099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODRIGO",
            "last_name": "RIOS",
            "prefix": "DR.",
            "suffix": "IV",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.