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

Individual provider Orthopaedic Surgery Physician · NPI 1356393011

Dr. Rhoderic Peter Mirkin, MD is an Orthopedic Surgery in Saint Louis, Missouri. Graduated from University of Pittsburgh School of Medicine in 1985, 41 years ago. Practices with Signature Medical Group Inc, a 40-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
41
Trained at
University of Pittsburgh School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12122 Tesson Ferry Rd
Saint Louis, MO 63128-1772
Phone: (314) 849-0808
Fax: (314) 849-8983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 109865 (MO)

Record details

NPI number1356393011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Signature Medical Group Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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