Individual provider Active NPI

Karenthea W. Rouw, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Cloud, MN
National Provider Identifier
1003897133
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
458 Issued in MN
Practice address
2025 Stearns Way
#105
Saint Cloud, MN 56303-4491
Phone
(320) 252-2963
Fax
(320) 252-4206
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 458 MN
Foot & Ankle Surgery Podiatrist 213ES0103X 458 MN Primary

Addresses

Primary practice location

2025 Stearns Way
#105
Saint Cloud, MN 56303-4491

Mailing address

2025 Stearns Way
#105
Saint Cloud, MN 56303-4491
Phone (320) 252-2963

Other identifiers 1

IdentifierTypeStateIssuer
834025100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000359 MN Practitioner - Podiatry 8426077561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Minnesota Foot and Ankle PLLCGroup PAC ID 7214016005, 2 clinicians

Practice addresses (Care Compare)

2025 Stearns Way
Suite 105
Saint Cloud, MN 56303-1360
Phone (320) 252-2963

Hospital & facility affiliations

  • Centracare - St. Cloud Hospital Hospital, Saint Cloud, MN, CCN 240036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions13
Removal of nail tissue391
Removal or shaving of skin growth261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Minnesota Foot and Ankle PLLC Foot & Ankle Surgery CurrentSince Apr 20, 2008 Accepting new patients
Otter Tail Podiatry P.C. Foot & Ankle Surgery Past Accepting new patients
Central Minnesota Foot & Ankle Associates,PA Foot Surgery Past Accepting new patients
Otter Tail Podiatry Associates, P.a. Foot Surgery PastSince Apr 15, 1992 Accepting new patients

Locations

2025 Stearns Way
Ste 105
Saint Cloud, MN 56303
Phone (320) 252-2963

Interoperability endpoints

  • Direct secure messaging: drkwrouw@cmfaa-mn.direct.office.nextgen.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1003897133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "#105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "320-252-2963",
            "fax_number": "320-252-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY",
            "address_2": "#105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034491",
            "telephone_number": "320-252-2963",
            "fax_number": "320-252-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUW",
        "first_name": "KARENTHEA",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "458",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834025100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.