NPIMap

Individual provider Active NPI

Rodney J McCutcheon, MD

  • Family Medicine Physician
  • Lakeville, MN
National Provider Identifier
1841292265
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35456 Issued in MN
Practice address
17599 Kenwood TRL
Lakeville, MN 55044-8330
Phone
(952) 428-0200
Fax
(952) 428-0399
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35456 MN Primary

Addresses

Primary practice location

17599 Kenwood TRL
Lakeville, MN 55044-8330

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (952) 428-0200

Other identifiers 1

IdentifierTypeStateIssuer
959522800MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmccutcheon105041@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000447 MN Practitioner - Family Practice 7517879224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health System 3,844 clinicians

Practice addresses (Care Compare)

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

Hospital & facility affiliations

  • Accentcare Fairview Home Health - West, LLC Home health agency, Saint Paul, MN, CCN 247078
  • Allina Health Home Health Home health agency, Minneapolis, MN, CCN 248091
  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • St Francis Regional Medical Center Hospital, Shakopee, MN, CCN 240104
  • M Health Fairview Ridges Hospital Hospital, Burnsville, MN, CCN 240207

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jan 1, 2014 Accepting new patients
St. Francis Regional Medical Center CurrentSince May 20, 2018 Accepting new patients
St Francis Regional Medical Center CurrentSince May 20, 2018 Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Allina Health System Family Medicine Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 100
Burnsville, MN 55337
Phone (950) 985-8275

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

17599 Kenwood Trl
Lakeville, MN 55044
Phone (952) 985-8200

20795 Keokuk Ave
Lakeville, MN 55044
Phone (952) 428-1030

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

Interoperability endpoints

  • Direct secure messaging: rmccutcheon105041@excellian.direct.allina.com

Organizations & group practices 7

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.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1841292265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "952-428-0200",
            "fax_number": "952-428-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17599 KENWOOD TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448330",
            "telephone_number": "952-428-0200",
            "fax_number": "952-428-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "RODNEY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "35456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959522800",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmccutcheon105041@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "20795 Keokuk Ave",
            "city": "Lakeville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550446004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.