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MENDAKOTA PEDIATRICS LTD
NPI 1497739320
Pediatrics in West St Paul, MN

Active since December 05, 2005CLIA 24D1025084 · Accreditation
1880 LIVINGSTON AVENUE, SUITE 102, WEST ST PAUL, MN 55118(651) 552-7999(651) 552-0777 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mendakota Pediatrics Ltd NPPES

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

MENDAKOTA PEDIATRICS LTD (NPI 1497739320) is a healthcare organization registered as a pediatrics in West St Paul, Minnesota and active in the NPI registry since December 2005. The organization holds an CLIA Accreditation certificate valid through August 24, 2027 and lists Jennifer W Gobel, President, as its authorized official.

NPPES Registry Identity

NPI1497739320
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMENDAKOTA PEDIATRICS LTD
Location Address1880 LIVINGSTON AVENUE, SUITE 102West St Paul, MN 55118
Mailing Address1880 Livingston Avenue, Suite 102West St Paul, MN 55118 · (651) 552-7999 · Fax (651) 552-0777
Phone(651) 552-7999
Fax(651) 552-0777
Organization SubpartNo
Authorized OfficialJennifer W GobelPresident · (651) 552-7999
Enumeration DateDecember 5, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497739320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 31085
Definition
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.
1880 LIVINGSTON AVENUE, West St Paul, MN 55118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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 Accreditation 24D1025084

Mendakota Pediatrics, Ltd · West Saint Paul, MN
Active · expires Aug 24, 2027
CLIA Number24D1025084
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorDr. Nora Mulloy
Laboratory Phone(651) 552-7999
Laboratory LocationMendakota Pediatrics, Ltd1880 Livingston Ave Ste 102, West Saint Paul, MN 55118
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Mendakota Pediatrics Ltd's NPI number?

The NPI number for Mendakota Pediatrics Ltd is 1497739320. It was assigned to this organization in the NPPES registry on December 5, 2005.

Where is Mendakota Pediatrics Ltd located?

Mendakota Pediatrics Ltd is located at 1880 Livingston Avenue Suite 102, West St Paul, MN 55118. The listed phone number is (651) 552-7999.

What is Mendakota Pediatrics Ltd's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Mendakota Pediatrics Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D1025084) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mendakota Pediatrics Ltd accept?

Health plans from HealthPartners and Medica list Mendakota Pediatrics Ltd 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 Mendakota Pediatrics Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.