MY MEDICAL CLINIC PLLC
NPI 1215344742
Clinic/Center - Multi-Specialty in Maplewood, MN
NPI Status: Active since July 16, 2014
Contact Information
1560 BEAM AVE
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 484-6923
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 24D2087511
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-24-2026
About MY MEDICAL CLINIC PLLC
This page provides the complete NPI Profile along with additional information for My Medical Clinic Pllc, a provider established in Maplewood, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1215344742 assigned on July 2014. The practitioner's primary taxonomy code is 261QM1300X with license number 45908 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Chaitanya Anand Md (Cmd/founder And Owner)
- NPI
- 1215344742
- Provider Name
- MY MEDICAL CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 1560 BEAM AVE MAPLEWOOD, MN 55109
- Location Phone
- (651) 484-6923
- Mailing Address
- 4872 STEEPLECHASE WAY EAGAN, MN 55122
- Mailing Phone
- (651) 484-6923
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2014
- Last Update Date
- 10-12-2022
- Code Navigator
Location Map
Secondary Locations
- 12805 Hwy 55 Ste 125
Plymouth, MN 55441
(651) 340-1445 - 4130 Blackhawk Rd Ste 112
Eagan, MN 55122
(651) 484-6923
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 45908
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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.
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
- 24D2087511
- Facility Type
- Physician Office
- Certificate Effective Date
- November 25, 2024
- Certificate Expiration Date
- November 24, 2026
- Laboratory Director
- CHAITANYA ANAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to My Medical Clinic Pllc 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.
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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 1215344742, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
MAPLEWOOD, MN 55109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215344742, enumerated as an "organization" on July 16, 2014.
The provider is located at 1560 BEAM AVE MAPLEWOOD, MN 55109 and the phone number is (651) 484-6923.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
