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

Dr. Todd Domeyer, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1417377755

Dr. Todd Domeyer, MD is a Family Practice in Saint Paul, Minnesota. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2014, 12 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
12
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MN, WI
In the registry since
2014
Specialties on file
3
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

2500 Como Ave
Saint Paul, MN 55108-1460
Phone: (651) 641-6200
Show map & directions

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

Additional practice locations (6)

  • 8100 Northland Dr, Bloomington, MN 55431-4800 — (952) 831-8742
  • 8100 Northland Dr, Bloomington, MN 55431-4800 — (952) 831-8742
  • 14050 Fairview Dr, Burnsville, MN 55337-5713 — (952) 831-8742
  • 9555 Upland Ln N, Maple Grove, MN 55369-4485 — (952) 831-8742
  • 155 Radio Dr, Woodbury, MN 55125-2619 — (952) 831-8742
  • 155 Radio Dr, Woodbury, MN 55125-2619 — (952) 831-8742

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 70608 (MN)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 64464 (WI)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 70608 (MN)

Record details

NPI number1417377755
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2014
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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