Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Randolph K. Peterson, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1053380204

Dr. Randolph K. Peterson, MD is a Pathology in Edina, Minnesota. Graduated from University of Minnesota Medical School in 1993, 33 years ago. Practices with Minnesota Urology, PA, a 82-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
33
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6525 France Ave S Ste 200
Edina, MN 55435-2148
Phone: (952) 927-6501
Fax: (952) 653-1435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 40788 (MN)

Record details

NPI number1053380204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESNovember 10, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1993 (33 years in practice)
Group practice Minnesota Urology, Pa — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Edina