Mark David Rabinovitch, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

23076 Issued in MN

Practice address

5100 Gamble Dr
Ste 100 Mail Stop 31200a
Saint Louis Park, MN 55416-1582

Phone

(952) 593-8777

Fax

(952) 595-6408

NPI assigned

Feb 21, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841265154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 34TH AVE S",
            "address_2": "21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251672",
            "telephone_number": "952-883-7961",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GAMBLE DR",
            "address_2": "STE 100 MAIL STOP 31200A",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161582",
            "telephone_number": "952-593-8777",
            "fax_number": "952-595-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOVITCH",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "23076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Quinn, M.D.
• Teresa E Quinn, MD
• Andrew Arthur Raak, CMT
• Karen Elizabeth Rabenau, M.D.
• Erika J. Rabeni, M.D.
• Ira Rabinowitz, DMD
• Alicia Rae Radel, OTR/L
• Vicky Lynn Radel, R.N., L. AC.
• Laura Elizabeth Rademacher, M.A.
• Gail A Radosevich, RD, CDE

• Pediatrics Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.