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ALICIA M TEAGARDEN D.O.
NPI 1407148356
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Active since May 11, 2011PECOS Enrolled
2530 CHICAGO AVE STE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2018, Jul 3, 2018, Jun 9, 2017 (3 updates tracked since 2017).

About Alicia M Teagarden D.o. NPPES

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

ALICIA M TEAGARDEN D.O. (NPI 1407148356) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (63503) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1407148356
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameALICIA M TEAGARDENCredential: D.O.
Location Address2530 CHICAGO AVE STE 400Minneapolis, MN 55404
Mailing Address2530 Chicago Ave Ste 400Minneapolis, MN 55404-4387 · (612) 813-3300 · Fax (612) 813-3349
Phone(612) 813-3300
Fax(612) 813-3349
Sole ProprietorNo
Enumeration DateMay 11, 2011
Last NPPES UpdateAugust 7, 20183 updates tracked since enumeration
✔ NPI 1407148356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in MN · 63503
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
2530 CHICAGO AVE STE 400, Minneapolis, MN 55404
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Other Names 1

Former Name (1)Alicia Granos

Secondary Practice Location 1

Location 1705 Riley Hospital Dr, RI 4900Indianapolis, IN 46202-5109 · Phone (317) 948-7128 · Fax (317) 944-3442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia M Teagarden D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Alicia Teagarden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Respiratory & Critical Care Specialists. P.A.
Same address
Pediatric Pulmonology
2530 CHICAGO AVE, SUITE 400
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Respiratory & Critical Care Specialists PA
  • 38 clinicians in this Medicare group
NPI 1003816505 (612) 813-3300
North Memorial Health Care
4.9 mi
Rehabilitation Unit
3300 OAKDALE AVE N
Robbinsdale, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 540 clinicians in this Medicare group
NPI 1285657247 (763) 581-3440
Gillette Children's Specialty Healthcare
8.2 mi
Multi-Specialty
200 EAST UNIVERSITY AVE
St. Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Gillette Childrens Specialty Healthcare
  • 304 clinicians in this Medicare group
NPI 1225119175 (651) 291-2848

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBERTO ORIOLES MD
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
NICHOLAS ROSCULET MD
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. ASHLEY ELIZABETH WILSON MD
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
NITAL PATEL M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
MS. KENDALL BIALLAS BAUMGARTNER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. KATHERINE ELIZABETH KRUSE M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. REBECCA ROSE SPURR MD
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
NANDINI KATARIA MD
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300

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 Alicia Teagarden's NPI number?

The NPI number for Alicia Teagarden is 1407148356. It was assigned to this individual provider in the NPPES registry on May 11, 2011. The provider is also known as Alicia Granos.

Where is Alicia Teagarden located?

Alicia Teagarden practices at 2530 Chicago Ave Ste 400, Minneapolis, MN 55404. The listed phone number is (612) 813-3300.

What is Alicia Teagarden's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Alicia Teagarden enrolled in Medicare?

Yes. Alicia Teagarden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alicia Teagarden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Teagarden reassigns Medicare benefits to 3 organizations: Children's Respiratory & Critical Care Specialists. P.A. (Minneapolis, MN), North Memorial Health Care (Robbinsdale, MN) and Gillette Children's Specialty Healthcare (St. Paul, MN). Each 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 Alicia Teagarden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Teagarden accept?

Health plans from CareSource list Alicia Teagarden 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 Alicia Teagarden was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.