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KATHERINE VELLABATI RD
NPI 1902320500
Dietitian, Registered in Woodbury, MN

Active since July 26, 2017
9680 TAMARACK RD STE 130, WOODBURY, MN 55125(651) 265-7575(651) 265-7580 Get Directions Write a Review

NPPES record last updated: August 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2017, Jul 26, 2017 (2 updates tracked since 2017).

About Katherine Vellabati Rd NPPES

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

KATHERINE VELLABATI RD (NPI 1902320500) is an individual dietitian, registered in Woodbury, Minnesota and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1902320500
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATHERINE VELLABATICredential: RD
Location Address9680 TAMARACK RD STE 130Woodbury, MN 55125-2617
Mailing Address4837 Hanson RdShoreview, MN 55126-5919
Phone(651) 265-7575
Fax(651) 265-7580
Sole ProprietorNo
Enumeration DateJuly 26, 2017
Last NPPES UpdateAugust 12, 20172 updates tracked since enumeration
✔ NPI 1902320500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
9680 TAMARACK RD STE 130, Woodbury, MN 55125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Vellabati Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Katherine Vellabati reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
Same address
Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1700235587 (612) 273-1172
Healtheast Medical Research Institute
0.1 mi
Family Medicine
9900 TAMARACK ROAD
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1588063580 (651) 232-6700
Fairview Clinics
7.1 mi
Clinic/Center
1414 MARYLAND AVE E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1124652557 (651) 772-3461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

ROSS FEMRITE
Physical Therapist
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Washington County (612) 273-1172
MS. KARI ANN MURDY R.D.
Dietitian, Registered
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Washington County (651) 265-7575
JOSE MANUEL JIMENEZ VEGA M.D.
Pediatrics (Pediatric Endocrinology)
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Washington County (651) 265-7575
ELLEN JUDITH MINARIK OTR
Occupational Therapist
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Washington County (612) 273-1172
MS. TERI MILLER MSN, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Washington County (651) 265-7575

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 Katherine Vellabati's NPI number?

The NPI number for Katherine Vellabati is 1902320500. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Katherine Vellabati located?

Katherine Vellabati practices at 9680 Tamarack Rd Ste 130, Woodbury, MN 55125. The listed phone number is (651) 265-7575.

What is Katherine Vellabati's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Katherine Vellabati enrolled in Medicare?

Yes. Katherine Vellabati is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Vellabati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Vellabati reassigns Medicare benefits to 3 organizations: Fairview Express Care (Woodbury, MN), Healtheast Medical Research Institute (Woodbury, MN) and Fairview Clinics (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Vellabati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Vellabati was last updated on August 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.