KAI SHIN CLINIC
NPI 1326490475
Family Medicine - Addiction Medicine in Roseville, MN

Active since July 12, 2016
2233 HAMLINE AVE N, STE 110, ROSEVILLE, MN 55113(651) 447-3755 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2024, Sep 17, 2020, Jul 12, 2016 (3 updates tracked since 2016).

About Kai Shin Clinic NPPES

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

KAI SHIN CLINIC (NPI 1326490475) is a healthcare organization registered as an addiction medicine in Roseville, Minnesota and active in the NPI registry since July 2016. The organization lists Alana Kim Sasaki, President, as its authorized official.

NPPES Registry Identity

NPI1326490475
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameSASAKI MEDICAL LLC
Location Address2233 HAMLINE AVE N, STE 110Roseville, MN 55113-5009
Mailing Address777 Raymond AveSaint Paul, MN 55114-1522 · (651) 447-3755
Organization SubpartNo
Authorized OfficialAlana Kim SasakiPresident · (651) 447-3755
Enumeration DateJuly 12, 2016
Last NPPES UpdateMay 2, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1326490475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2233 HAMLINE AVE N, Roseville, MN 55113

Other Names 1

Doing Business AsKai Shin Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kai Shin Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Kai Shin Clinic, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner7
Family Practice3
Addiction Medicine1
Clinical Psychologist1
Internal Medicine1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1164221701
777 RAYMOND AVE
Saint Paul, MN 55114
(651) 447-3755
✔ PECOS✔ Accepts Medicare3.6 mi
Family Practice
NPI 1326305996
2550 UNIVERSITY AVE W STE 130N
Saint Paul, MN 55114
(651) 447-3755
✔ PECOS3.7 mi
Clinical Psychologist
NPI 1023075967
559 CAPITOL BLVD
Saint Paul, MN 55103
(651) 232-2000
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1336184464
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ PECOS✔ Accepts Medicare4.8 mi
Addiction Medicine
NPI 1437440849
45 10TH ST W
Saint Paul, MN 55102
(808) 222-0389
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1124844626
2215 E LAKE ST
Minneapolis, MN 55407
(612) 596-9438
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1457771750
1850 BEAM AVE
Maplewood, MN 55109
(651) 241-9500
✔ PECOS6.7 mi
Family Practice
NPI 1497199525
3074 MEADOW BROOK DR
Woodbury, MN 55125
(612) 210-4538
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1558020578
470 WATER ST
Excelsior, MN 55331
(952) 442-6950
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1740899756
18465 ORCHARD TRL STE 200
Lakeville, MN 55044
(952) 428-0950
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1831073667
2000 NORTH AVE
Northfield, MN 55057
(507) 646-1000
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1982790242
2300 24TH ST NW STE 110
Bemidji, MN 56601
(218) 444-3998
✔ PECOS✔ Accepts Medicare191 mi
Nurse Practitioner
NPI 1245698471
7002 RIVERBROOK DR STE 900F
Sugar Land, TX 77479
(281) 721-4181
✔ PECOS✔ Accepts Medicare1,074 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2312523

Kai Shin Clinic · Saint Paul, MN
Expired · Oct 14, 2026
CLIA Number24D2312523
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorNicole M. Solberg
Laboratory Phone(651) 447-3755
Laboratory LocationKai Shin ClinicCourt And Case 2550 University Ave W Unit 130 N, Saint Paul, MN 55114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sasaki Medical LLC's NPI number?

The NPI number for Sasaki Medical LLC is 1326490475. It was assigned to this organization in the NPPES registry on July 12, 2016. The provider is doing business as Kai Shin Clinic.

Where is Sasaki Medical LLC located?

Sasaki Medical LLC is located at 2233 Hamline Ave N Ste 110, Roseville, MN 55113. The listed phone number is (651) 447-3755.

What is Sasaki Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Sasaki Medical LLC enrolled in Medicare?

Yes. Sasaki Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sasaki Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Sasaki Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (3) and Addiction Medicine (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sasaki Medical LLC accept?

Health plans from HealthPartners list Sasaki Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sasaki Medical LLC was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.