SOUTHDALE PEDIATRIC ASSOCIATES, LTD
NPI 1245305895
Clinic/Center - Multi-Specialty in Edina, MN
NPI Status: Active since November 21, 2006
Contact Information
6600 FRANCE AVE S STE 300
EDINA, MN
ZIP 55435
Phone: (952) 831-1944
Fax: (952) 278-6947
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 24D0403224
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-04-2027
About SOUTHDALE PEDIATRIC ASSOCIATES, LTD
This page provides the complete NPI Profile along with additional information for Southdale Pediatric Associates, Ltd, a provider established in Edina, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1245305895 assigned on November 2006. The practitioner's primary taxonomy code is 261QM1300X with license number 196 (MN). The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Saira Mitha Md (President)
- NPI
- 1245305895
- Provider Name
- SOUTHDALE PEDIATRIC ASSOCIATES, LTD
- Entity Type
- Organization
- Location Address
- 6600 FRANCE AVE S STE 300 EDINA, MN 55435
- Location Phone
- (952) 831-1944
- Location Fax
- (952) 278-6947
- Mailing Address
- 6600 FRANCE AVE S STE 315 EDINA, MN 55435
- Mailing Phone
- (952) 831-1944
- Mailing Fax
- (952) 278-6947
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2006
- Last Update Date
- 05-12-2026
- Code Navigator
Location Map
Secondary Locations
- 11095 Viking Dr Ste 250
Eden Prairie, MN 55344
(952) 278-7000 - 501 E Nicollet Blvd Ste 200
Burnsville, MN 55337
(952) 278-7000 - 6600 France Ave S Ste 310
Edina, MN 55435
(952) 278-7010
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.
- 196
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 065710700 | MEDICAID (05) | MN |
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
- 24D0403224
- Facility Type
- Physician Office
- Certificate Effective Date
- December 05, 2025
- Certificate Expiration Date
- December 04, 2027
- Laboratory Director
- DR. SARAH D. BRANDT
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Southdale Pediatric Associates, Ltd on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1245305895, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245305895, enumerated as an "organization" on November 21, 2006.
The provider is located at 6600 FRANCE AVE S STE 300 EDINA, MN 55435 and the phone number is (952) 831-1944.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
