Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN GALE DO
NPI 1093401739
Pediatrics in Minneapolis, MN

Active since April 14, 2023PECOS Enrolled
2450 RIVERSIDE AVE # M136, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, May 4, 2024, Apr 15, 2023 (3 updates tracked since 2023).

About Jonathan Gale Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN GALE DO (NPI 1093401739) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (81482) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mankato.

NPPES Registry Identity

NPI1093401739
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN GALECredential: DO
Location Address2450 RIVERSIDE AVE # M136Minneapolis, MN 55454-1450
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 625-4031
Sole ProprietorNo
Enumeration DateApril 14, 2023
Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
NPI 1093401739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 81482
Definition
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.
2450 RIVERSIDE AVE # M136, Minneapolis, MN 55454

Secondary Practice Location 1

Location 11025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-4031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Gale Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE # M136
MINNEAPOLIS, MN 55454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Gale's NPI number?

The NPI number for Jonathan Gale is 1093401739. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Jonathan Gale located?

Jonathan Gale practices at 2450 Riverside Ave # M136, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Jonathan Gale's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Gale enrolled in Medicare?

Yes. Jonathan Gale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Gale was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.