Active NPI
Michael Charles Rethy, MD
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD045693
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Jun 27, 2006
- 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 | 0101239525 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | MD045693 | DC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD17856 | ME |
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 DC, TX, SC, MT, AK, OR, ND, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060720000137 | DC | Practitioner - Diagnostic Radiology | 4880635630 | Reassigns benefits to 7 organizations |
| I20090914000775 | TX | Practitioner - Diagnostic Radiology | 4880635630 | Reassigns benefits to 1 organization |
| I20170406000886 | SC | Practitioner - Diagnostic Radiology | 4880635630 | |
| I20190124002496 | MT | Practitioner - Diagnostic Radiology | 4880635630 | Reassigns benefits to 3 organizations |
| I20190417001798 | AK | Practitioner - Diagnostic Radiology | 4880635630 | |
| I20210628000327 | OR | Practitioner - Diagnostic Radiology | 4880635630 | Reassigns benefits to 1 organization |
| I20230302002272 | ND | Practitioner - Diagnostic Radiology | 4880635630 | Reassigns benefits to 1 organization |
| I20251210003932 | WY | Practitioner - Diagnostic Radiology | 4880635630 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Icahn School of Medicine at Mount Sinai, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sidney Health Center
Practice addresses (Care Compare)
10872 Hunter Gate Way
Reston, VA 20194-1420
Phone (952) 595-1100
1111 23Rd St NW
Apt 3C
Washington, DC 20037-3319
Phone (404) 662-2438
1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611
214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112
216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2036
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
3310 Ordway St NW
Washington, DC 20008-3260
Phone (760) 674-3850
Hospital & facility affiliations
- Bassett Healthcare
- Northwestern Medical Center Inc
- Phoebe Putney Memorial Hospital
- University of MD Shore Medical Center at Easton
- Aurelia Osborn Fox Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17856 | ME | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Hot Springs County Hospital District | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Donalsonville Hospital Inc | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Palm Desert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| St Paul Place Specialists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| Hot Springs County Hospital District | Current | Accepting new patients | |
| West River Health Services | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Diagnostic Radiology | Current | Accepting new patients |
| Vermont Diagnostic Imaging LLC | Current | Accepting new patients | |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Past | Accepting new patients | |
| Reston Hospital Center LLC | Past | Accepting new patients | |
| Mercy Medical Center Inc | Past | Accepting new patients | |
| York Hospital | Past | Accepting new patients | |
| New Frontier Imaging, LLC | Past | Accepting new patients | |
| St. Mary'S Hospital and Medical Center, Inc. | Past | Accepting new patients | |
| Altru Hospital-Devils Lake | Past | Accepting new patients | |
| Phoebe Sumter Medical Center Inc | Past | Accepting new patients | |
| Banner Estrella Medical Center | Past | Accepting new patients | |
| Banner Desert Medical Center | Past | Accepting new patients | |
| Banner - University Medical Center Phoenix | Past | Accepting new patients | |
| Dakota Specialty Institute | Past | Accepting new patients | |
| Troy Community Hospital Incorporated | Past | Accepting new patients | |
| Carle Bromenn Medical Center | Past | Accepting new patients | |
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| Robert Packer Hospital | Past | Accepting new patients | |
| Reston Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| MRI of Reston, LP | Diagnostic Radiology | Past | Accepting new patients |
| Loudoun Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Fair Oaks Imaging Center, PC | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Past | Accepting new patients |
| Baptist Memorial Hospital-Jonesboro Inc | Past | Accepting new patients | |
| Pet of Reston, LP | Diagnostic Radiology | Past | Accepting new patients |
| Piedmont Diagnostic Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Northern Virginia Radiology Consultants, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Past | Accepting new patients |
| Memorial Hospital Inc of Towanda PA | Past | Accepting new patients | |
| Potomac Radiology & Imaging Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Carle Eureka Hospital | Past | Accepting new patients |
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851
807 S Isabella St
Ste 110
Sylvester, GA 31791
30 13th St
Havre, MT 59501
Phone (406) 262-1302
214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
#4100
New York, NY 10032
Phone (212) 305-5123
300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174
Organizations & group practices 49
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.
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
DC, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Rancho Mirage, CA
- NPI 1124079868
DC, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1497707681
DC, Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneonta, NY
- NPI 1578529954
Hospital
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1386689875
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1689601502",
"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": "RETHY",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101239525",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DC",
"license": "MD045693",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "MD17856",
"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.