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

Mr. Thomas Jon Rishavy, MD

Individual provider Plastic Surgery Physician · NPI 1295771798

Mr. Thomas Jon Rishavy, MD is a Plastic and Reconstructive Surgery in Duluth, Minnesota. Graduated from Creighton University School of Medicine in 1996, 30 years ago. Practices with Polinsky Medical Rehabilitation Center, a 380-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
30
Trained at
Creighton University School of Medicine
Licensed in
MN
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

4316 Rice Lake Rd Ste 109
Duluth, MN 55811-2885
Phone: (218) 724-7363
Fax: (218) 724-6199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 45103 (MN)

Record details

NPI number1295771798
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address4316 Rice Lake Rd Ste 109, Duluth, MN 55811-2885

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Polinsky Medical Rehabilitation Center — 380 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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