KINDBODY OF MN MEDICAL PRACTICE, PC
NPI 1841967825
Obstetrics & Gynecology - Reproductive Endocrinology in Minneapolis, MN

Active since August 26, 2021CLIA 24D2232808 · Accreditation
138 N 2ND ST, MINNEAPOLIS, MN 55401(855) 563-2639 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kindbody Of Mn Medical Practice, Pc NPPES

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

KINDBODY OF MN MEDICAL PRACTICE, PC (NPI 1841967825) is a healthcare organization registered as a reproductive endocrinology in Minneapolis, Minnesota and active in the NPI registry since August 2021. The organization holds an CLIA Accreditation certificate valid through October 25, 2026 and lists Fahimeh Sasan, Founding Obgyb, as its authorized official.

NPPES Registry Identity

NPI1841967825
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NamePEACH STATE MEDICAL PRACTICE, PC
Location Address138 N 2ND STMinneapolis, MN 55401
Mailing Address333 S Desplaines St Ste 201Chicago, IL 60661-5514 · (855) 563-2639
Organization SubpartNo
Authorized OfficialFahimeh SasanFounding Obgyb · (855) 563-2639
Enumeration DateAugust 26, 2021
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1841967825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

138 N 2ND ST, Minneapolis, MN 55401

Other Names 1

Doing Business AsKindbody Of Mn Medical Practice, Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 24D2232808

Peach State Medical Practice, PC Dba Kindbody Of Mn Medical Practice · Minneapolis, MN
Active · expires Oct 25, 2026
CLIA Number24D2232808
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorDr. Jason Barritt
Laboratory Phone(612) 230-4090
Laboratory LocationPeach State Medical Practice, PC Dba Kindbody Of Mn Medical Practice138 North Second Street, Minneapolis, MN 55401
CLIA data matches this NPI record on: Name
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Women's Health)
138 N 2ND ST
MINNEAPOLIS, MN 55401
Obstetrics & Gynecology (Reproductive Endocrinology)
138 N 2ND ST
MINNEAPOLIS, MN 55401

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 Peach State Medical Practice, PC's NPI number?

The NPI number for Peach State Medical Practice, PC is 1841967825. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is doing business as Kindbody Of Mn Medical Practice, PC.

Where is Peach State Medical Practice, PC located?

Peach State Medical Practice, PC is located at 138 N 2nd St, Minneapolis, MN 55401. The listed phone number is (855) 563-2639.

What is Peach State Medical Practice, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Does Peach State Medical Practice, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D2232808) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peach State Medical Practice, PC was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.