DR. CATHLEEN PRUITT M.D.
NPI 1679952428
Pediatrics - Pediatric Cardiology in Minneapolis, MN

Q: What is Cathleen Pruitt's NPI number?

The NPI number for Cathleen Pruitt is 1679952428. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Cathleen Pruitt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Cathleen Pruitt was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 27, 2015PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-8827 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2022, Jul 21, 2022, Jun 14, 2018 (3 updates tracked since 2018).

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About Dr. Cathleen Pruitt M.d. NPPES

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

DR. CATHLEEN PRUITT M.D. (NPI 1679952428) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Minnesota (71742) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679952428

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameDR. CATHLEEN PRUITTCredential: M.D.

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (650) 930-0046

Phone(612) 813-8827

Sole ProprietorYes

Enumeration DateMay 27, 2015

Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration

NPPES CertifiedNovember 1, 2022

✔ NPI 1679952428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MN · 71742

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

2525 CHICAGO AVE, Minneapolis, MN 55404

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Secondary Practice Locations 3

Location 181 N Mario Capecchi DrSalt Lake City, UT 84113 · Phone (801) 213-1609

Location 21465 South Grand Boulevard, Room 2717St Louis, MO 63104 · Phone (314) 577-5634

Location 3420 E 1st StDuluth, MN 55805-1901 · Phone (218) 786-8364

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cathleen Pruitt M.d. 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.

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.

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)