Individual provider Active NPI

Michael Charles Rethy, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1689601502
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD045693 Issued in DC
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

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 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, WY8 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 8

Enrollment IDStateProvider typePAC IDDetails
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
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians
Palm Desert Radiology Medical Group IncGroup PAC ID 0749173789, 125 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians
Vermont Diagnostic Imaging LLCGroup PAC ID 9436640893, 27 clinicians

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 Hospital, Cooperstown, NY, CCN 330136
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17856MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 3, 2017 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 7, 2022 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Hot Springs County Hospital District CurrentSince Sep 27, 2025 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 3, 2017 Accepting new patients
Donalsonville Hospital Inc CurrentSince Dec 15, 2018 Accepting new patients
Sidney Health Center CurrentSince Dec 1, 2018 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 7, 2022 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology CurrentSince Dec 5, 2023 Accepting new patients
Sidney Health Center Current Accepting new patients
Hot Springs County Hospital District CurrentSince Sep 27, 2025 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 CurrentSince Feb 1, 2026 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 23, 2025 Accepting new patients
Sidney Health Center CurrentSince Dec 1, 2018 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 PastSince Apr 23, 2023 Accepting new patients
Loudoun Imaging Center Diagnostic Radiology Past Accepting new patients
Fair Oaks Imaging Center, PC Diagnostic Radiology PastSince Apr 23, 2023 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 PastSince Jan 30, 2023 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.

View all 49

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.