| Dr Kozhuvattasseri Padmanabha Madhusoodanan, MD | |
|
516 Delaware Street Se Clinic 3b, University Of Minnesota Physicians, Minneapolis, MN 55455 | |
| (612) 625-3600 | |
| Not Available |
| Full Name | Dr Kozhuvattasseri Padmanabha Madhusoodanan |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 42 Years |
| Location | 516 Delaware Street Se Clinic 3b, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164505624 | NPI | - | NPPES |
| 1053385 | Other | ARAZ | |
| 25-00413 | Other | MEDICA CHOICE | |
| 0534461 | Medicaid | IA | |
| M011 | Other | TRIWEST/TRICARE | |
| HP31284 | Other | HEALTHPARTNERS | |
| 128412600 | Medicaid | MN | |
| 34017700 | Medicaid | WI | |
| 7777470 | Medicaid | SD | |
| 10387 | Medicaid | ND | |
| 127916 | Other | UCARE | |
| 25-00021 | Other | MEDICA PRIMARY | |
| 78R23MA | Other | MN | BLUE CROSS BLUE SHIELD |
| 1024914 | Other | PREFERREDONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 42532 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
| University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| Fairview Clinics | 7113830142 | 736 |
| Range Regional Health Services | 8022920024 | 255 |
| Grand Itasca Clinic And Hospital | 8123939550 | 263 |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Fairview Bethesda Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kozhuvattasseri Padmanabha Madhusoodanan, MD 420 Delaware St Se Mmc 508, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 625-3600 | Dr Kozhuvattasseri Padmanabha Madhusoodanan, MD 516 Delaware Street Se Clinic 3b, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 625-3600 |
Pascal Frino, M.D Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183 | |
Dr. Ronald Alexander Reilkoff, M.D. Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Traci Arnette Roberts, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026 | |
Eugenia Shmidt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 507-284-2511 | |
Daniel Tesfaye Kebed, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098 | |
Amr Idris, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St Ste 300, Minneapolis, MN 55407 Phone: 612-863-1681 | |
Tenzin Yangchen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026 |