WAYZATA CHILDREN'S CLINIC P.A.
NPI 1023081577
Pediatrics in Minnetonka, MN

NPI Status: Active since February 07, 2006

Contact Information

14001 RIDGEDALE DR
#100
MINNETONKA, MN
ZIP 55305
Phone: (952) 473-0211
Fax: (952) 473-7908

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 24D0400933
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2027

About WAYZATA CHILDREN'S CLINIC P.A.

This page provides the complete NPI Profile along with additional information for Wayzata Children's Clinic P.a., a pediatrician established in Minnetonka, Minnesota operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1023081577 assigned on February 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Martha R. Engelbrekt Md (President)

NPI
1023081577
Provider Name
WAYZATA CHILDREN'S CLINIC P.A.
Entity Type
Organization
Location Address
14001 RIDGEDALE DR #100 MINNETONKA, MN 55305
Location Phone
(952) 473-0211
Location Fax
(952) 473-7908
Mailing Address
14001 RIDGEDALE DR #100 MINNETONKA, MN 55305
Mailing Phone
(952) 473-0211
Mailing Fax
(952) 473-7908
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2006
Last Update Date
04-05-2017
Code Navigator

A pediatrician like Wayzata Children's Clinic P.a. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTHA R. ENGELBREKT MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 473-0211

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0400933
Facility Type
Physician Office
Certificate Effective Date
January 01, 2026
Certificate Expiration Date
December 31, 2027
Laboratory Director
DR. JESSIE L. ARNASON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wayzata Children's Clinic P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WAYZATA CHILDREN'S CLINIC P.A.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023081577, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 0 + 8 + 2 + 5 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1023081577.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Obstetrics & Gynecology
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Obstetrics & Gynecology
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Obstetrics & Gynecology
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Obstetrics & Gynecology
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Obstetrics & Gynecology
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR, #100
MINNETONKA, MN 55305
Obstetrics & Gynecology
14001 RIDGEDALE DR, SUITE 200
MINNETONKA, MN 55305
Nurse Practitioner
14001 RIDGEDALE DR, STE 200
MINNETONKA, MN 55305
Physician Assistant
14001 RIDGEDALE DR, #200
MINNETONKA, MN 55305
Otolaryngology (Sleep Medicine)
14001 RIDGEDALE DR, SUITE 330
MINNETONKA, MN 55305
Pediatrics
14001 RIDGEDALE DR, SUITE 100
MINNETONKA, MN 55305
Pediatrics
14001 RIDGEDALE DR, SUITE 100
MINNETONKA, MN 55305
Specialist/Technologist, Other (Surgical Assistant)
14001 RIDGEDALE DR, SUITE 200
MINNETONKA, MN 55305
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR, STE 100
MINNETONKA, MN 55305
Chiropractor
14001 RIDGEDALE DR
MINNETONKA, MN 55305
Chiropractor
14001 RIDGEDALE DR, SUITE 390
MINNETONKA, MN 55305
Chiropractor
14001 RIDGEDALE DR, SUITE 390
MINNETONKA, MN 55305
Nurse Practitioner (Pediatrics)
14001 RIDGEDALE DR, STE 100
MINNETONKA, MN 55305
Pediatrics
14001 RIDGEDALE DR, SUITE 100
MINNETONKA, MN 55305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023081577, enumerated as an "organization" on February 07, 2006.

The provider is located at 14001 RIDGEDALE DR #100 MINNETONKA, MN 55305 and the phone number is (952) 473-0211.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.