SARTELL PEDIATRICS, P.A.
NPI 1215203898
Pediatrics in Sartell, MN

NPI Status: Active since March 28, 2012

Contact Information

111 2ND ST S
SARTELL, MN
ZIP 56377
Phone: (320) 281-3339
Fax: (320) 200-7505

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 24D2328102
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-04-2027

About SARTELL PEDIATRICS, P.A.

This page provides the complete NPI Profile along with additional information for Sartell Pediatrics, P.a., a pediatrician established in Sartell, Minnesota operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1215203898 assigned on March 2012. The practitioner's primary taxonomy code is 208000000X with license number 47571 (MN). The provider is registered as an organization and their NPI record was last updated one year 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 provider's . The authorized official of this NPI record is Dr. David Lucas Smith M.d. (Owner)

NPI
1215203898
Provider Legal Name
SARTELL PEDIATRICS, P.A.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
111 2ND ST S SARTELL, MN 56377
Location Phone
(320) 281-3339
Location Fax
(320) 200-7505
Mailing Address
111 2ND ST S SARTELL, MN 56377
Mailing Phone
(320) 281-3339
Mailing Fax
(320) 200-7505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2012
Last Update Date
08-01-2025
Code Navigator

A pediatrician like Sartell Pediatrics, 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

Secondary Locations

  • 800 Prairie Center Dr Ste 120
    Eden Prairie, MN 55344
    (320) 281-3339

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
License No.
47571
License State
MN
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
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*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

DR. DAVID LUCAS SMITH M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(320) 281-3339

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
24D2328102
Facility Type
Physician Office
Certificate Effective Date
August 05, 2025
Certificate Expiration Date
August 04, 2027
Laboratory Director
JUNELL PETERSEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sartell Pediatrics, 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 SARTELL PEDIATRICS, 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 1215203898, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 1 → 2 2 → 4 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 4 + 0 + 6 + 8 + 1 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1215203898.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
111 2ND ST S
SARTELL, MN 56377
Pediatrics
111 2ND ST S
SARTELL, MN 56377
Speech-Language Pathologist
111 2ND ST S
SARTELL, MN 56377
Psychologist (Clinical)
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner (Pediatrics)
111 2ND ST S
SARTELL, MN 56377
Occupational Therapist
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner (Pediatrics)
111 2ND ST S
SARTELL, MN 56377
Pediatrics
111 2ND ST S
SARTELL, MN 56377
Occupational Therapist
111 2ND ST S
SARTELL, MN 56377
Marriage & Family Therapist
111 2ND ST S
SARTELL, MN 56377
Nurse Practitioner (Pediatrics)
111 2ND ST S
SARTELL, MN 56377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215203898, enumerated as an "organization" on March 28, 2012.

The provider is located at 111 2ND ST S SARTELL, MN 56377 and the phone number is (320) 281-3339.

Pediatrics with taxonomy code 208000000X.

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