EAGAN VALLEY PEDIATRICS, P.A.
NPI 1528050119
Clinic/Center in Apple Valley, MN
NPI Status: Active since August 19, 2005
Contact Information
14135 CEDAR AVE
SUITE 100
APPLE VALLEY, MN
ZIP 55124
Phone: (952) 432-4373
Fax: (952) 997-5679
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 24D0978828
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-29-2026
About EAGAN VALLEY PEDIATRICS, P.A.
This page provides the complete NPI Profile along with additional information for Eagan Valley Pediatrics, P.a., a provider established in Apple Valley, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1528050119 assigned on August 2005. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is James E Dufort M.d. (President)
- NPI
- 1528050119
- Provider Name
- EAGAN VALLEY PEDIATRICS, P.A.
- Entity Type
- Organization
- Location Address
- 14135 CEDAR AVE SUITE 100 APPLE VALLEY, MN 55124
- Location Phone
- (952) 432-4373
- Location Fax
- (952) 997-5679
- Mailing Address
- 14135 CEDAR AVE SUITE 100 APPLE VALLEY, MN 55124
- Mailing Phone
- (952) 432-4373
- Mailing Fax
- (952) 997-5679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2005
- Last Update Date
- 08-22-2020
- Code Navigator
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 24D0978828
- Facility Type
- Physician Office
- Certificate Effective Date
- October 30, 2024
- Certificate Expiration Date
- October 29, 2026
- Laboratory Director
- JAMES E. DUFORT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Eagan Valley Pediatrics, P.a. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1528050119, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
APPLE VALLEY, MN 55124
APPLE VALLEY, MN 55124
APPLE VALLEY, MN 55124
APPLE VALLEY, MN 55124
APPLE VALLEY, MN 55124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528050119, enumerated as an "organization" on August 19, 2005.
The provider is located at 14135 CEDAR AVE SUITE 100 APPLE VALLEY, MN 55124 and the phone number is (952) 432-4373.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.
