CENTRAL PEDIATRICS, P.A.
NPI 1396721387
Clinic/Center - Primary Care in Woodbury, MN

NPI Status: Active since December 21, 2005

Contact Information

9680 TAMARACK RD STE 100
WOODBURY, MN
ZIP 55125
Phone: (651) 738-0470
Fax: (651) 731-5031

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  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance
  • CLIA Number: 24D0399893
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-22-2027

About CENTRAL PEDIATRICS, P.A.

This page provides the complete NPI Profile along with additional information for Central Pediatrics, P.a., a primary care provider established in Woodbury, Minnesota operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1396721387 assigned on December 2005. The practitioner's primary taxonomy code is 261QP2300X. 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 Ms. Kim Altendorf (Administrator)

NPI
1396721387
Provider Name
CENTRAL PEDIATRICS, P.A.
Entity Type
Organization
Location Address
9680 TAMARACK RD STE 100 WOODBURY, MN 55125
Location Phone
(651) 738-0470
Location Fax
(651) 731-5031
Mailing Address
9680 TAMARACK RD STE 100 WOODBURY, MN 55125
Mailing Phone
(651) 738-0470
Mailing Fax
(651) 731-5031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2005
Last Update Date
07-21-2022
Code Navigator

A primary care provider (PCP) like Central Pediatrics, P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
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:

  • 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

*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

MS. KIM ALTENDORF

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(651) 731-5026

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
24D0399893
Facility Type
Practitioner Other
Certificate Effective Date
December 23, 2025
Certificate Expiration Date
December 22, 2027
Laboratory Director
DR. LAWRENCE E. MORRISSEY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Central Pediatrics, P.a. 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.

Reviews for CENTRAL 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 1396721387, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 9 → 18 → 9 7 → 14 → 5 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 1 + 4 + 2 + 2 + 3 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1396721387.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Pediatrics (Pediatric Emergency Medicine)
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Clinic/Center (Urgent Care)
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125
Pediatrics
9680 TAMARACK RD STE 100
WOODBURY, MN 55125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396721387, enumerated as an "organization" on December 21, 2005.

The provider is located at 9680 TAMARACK RD STE 100 WOODBURY, MN 55125 and the phone number is (651) 738-0470.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

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