MENDAKOTA PEDIATRICS LTD
NPI 1497739320
Pediatrics in West St Paul, MN
NPI Status: Active since December 05, 2005
Contact Information
1880 LIVINGSTON AVENUE
SUITE 102
WEST ST PAUL, MN
ZIP 55118
Phone: (651) 552-7999
Fax: (651) 552-0777
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 24D1025084
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-24-2027
About MENDAKOTA PEDIATRICS LTD
This page provides the complete NPI Profile along with additional information for Mendakota Pediatrics Ltd, a pediatrician established in West St Paul, Minnesota operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1497739320 assigned on December 2005. The practitioner's primary taxonomy code is 208000000X with license number 31085 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jennifer W Gobel Md (President)
- NPI
- 1497739320
- Provider Name
- MENDAKOTA PEDIATRICS LTD
- Entity Type
- Organization
- Location Address
- 1880 LIVINGSTON AVENUE SUITE 102 WEST ST PAUL, MN 55118
- Location Phone
- (651) 552-7999
- Location Fax
- (651) 552-0777
- Mailing Address
- 1880 LIVINGSTON AVENUE SUITE 102 WEST ST PAUL, MN 55118
- Mailing Phone
- (651) 552-7999
- Mailing Fax
- (651) 552-0777
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2005
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Mendakota Pediatrics Ltd is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31085
- License State
- MN
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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
- 24D1025084
- Facility Type
- Physician Office
- Certificate Effective Date
- August 25, 2025
- Certificate Expiration Date
- August 24, 2027
- Laboratory Director
- JENNIFER GOBEL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mendakota Pediatrics 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 1497739320, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497739320, enumerated as an "organization" on December 05, 2005.
The provider is located at 1880 LIVINGSTON AVENUE SUITE 102 WEST ST PAUL, MN 55118 and the phone number is (651) 552-7999.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.
