SAGE PRAIRIE
NPI 1891031209
Internal Medicine - Addiction Medicine in Minneapolis, MN

NPI Status: Active since December 13, 2012

Contact Information

3805 WASHINGTON AVE N
MINNEAPOLIS, MN
ZIP 55412
Phone: (612) 887-6282
Fax: (612) 437-4992

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  • Organization
  • Internal Medicine
  • Addiction Medicine
  • Accepts Insurance

About SAGE PRAIRIE

This page provides the complete NPI Profile along with additional information for Sage Prairie, an internist established in Minneapolis, Minnesota operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1891031209 assigned on December 2012. The practitioner's primary taxonomy code is 207RA0401X with license number 52519 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Sage Prairie. The authorized official of this NPI record is Dr. Anne M Pylkas Md (Ceo)

NPI
1891031209
Provider Legal Name
MEDICAL ADDICTION TREATMENT CLINIC
Other Organization Name
SAGE PRAIRIE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3805 WASHINGTON AVE N MINNEAPOLIS, MN 55412
Location Phone
(612) 887-6282
Location Fax
(612) 437-4992
Mailing Address
3805 WASHINGTON AVE N MINNEAPOLIS, MN 55412
Mailing Phone
(612) 887-6282
Mailing Fax
(612) 437-4992
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2012
Last Update Date
08-17-2022
Code Navigator

An internist like Sage Prairie is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
License No.
52519
License State
MN
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

12684 (MN)
3363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANNE M PYLKAS MD

Authorized Official Title
CEO
Authorized Official Phone
(612) 435-7380

Reviews for SAGE PRAIRIE

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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 1891031209, 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 0 → 0 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 0 + 3 + 2 + 2 + 0 + 24 = 51

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.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1891031209.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
3805 WASHINGTON AVE N
MINNEAPOLIS, MN 55412
Nurse Practitioner (Family)
3805 WASHINGTON AVE N
MINNEAPOLIS, MN 55412
Nurse Practitioner (Psychiatric/Mental Health)
3805 WASHINGTON AVE N
MINNEAPOLIS, MN 55412
Lodging
3805 WASHINGTON AVE N
MINNEAPOLIS, MN 55412
Clinic/Center (Methadone)
3805 WASHINGTON AVE N
MINNEAPOLIS, MN 55412
Nurse Practitioner (Psychiatric/Mental Health)
3805 WASHINGTON AVE N
MINNEAPOLIS, MN 55412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891031209, enumerated as an "organization" on December 13, 2012.

The provider is located at 3805 WASHINGTON AVE N MINNEAPOLIS, MN 55412 and the phone number is (612) 887-6282.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.