Individual provider Active NPI

Shaun Sava, PA-C

  • Medical Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1013165638
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10477 Issued in MN
Practice address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone
(651) 389-2540
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10477 MN Primary
Physician Assistant 363A00000X 1169- TEMP MN

Addresses

Primary practice location

153 Cesar Chavez St
Saint Paul, MN 55107-2226

Mailing address

5345 Colfax Ave S
Minneapolis, MN 55419-1108
Phone (612) 245-7551

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000271 MN Practitioner - Physician Assistant 1850450792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Side Community Health Services, Inc.Group PAC ID 2062306434, 51 clinicians

Practice addresses (Care Compare)

153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500

1544 Timberlake Rd
Saint Paul, MN 55117-3946
Phone (651) 602-7500

424 Dorothy Day PL
Saint Paul, MN 55102-1025
Phone (651) 290-6814

895 7TH St E
Saint Paul, MN 55106-3871
Phone (651) 602-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1169- TEMPMNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc. CurrentSince Jul 5, 2023 Accepting new patients
West Side Community Health Services, Inc. CurrentSince Jul 5, 2023 Accepting new patients

Locations

1540 6th St E
Saint Paul, MN 55106
Phone (651) 778-2884

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

65 Kellogg Blvd E
Saint Paul, MN 55101

740 Rose Ave W
Saint Paul, MN 55117
Phone (651) 487-8539

435 University Ave E
Saint Paul, MN 55130
Phone (651) 290-6814

424 Dorothy Day Pl
Saint Paul, MN 55102
Phone (651) 793-2219

895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250

1037 University Ave W
Saint Paul, MN 55104
Phone (651) 632-2189

1212 University Ave W
Saint Paul, MN 55104
Phone (651) 293-5900

1495 Rice St
Saint Paul, MN 55117
Phone (651) 487-8531

1544 Timberlake Rd
Saint Paul, MN 55117
Phone (651) 558-2191

275 Lexington Pkwy N
Saint Paul, MN 55104
Phone (651) 632-2194

1349 Arcade St
Saint Paul, MN 55106
Phone (651) 778-2889

1015 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 389-2460

30 Baker St E
Saint Paul, MN 55107
Phone (651) 312-1996

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

Interoperability endpoints

  • Direct secure messaging: ssava733201@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1013165638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 COLFAX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191108",
            "telephone_number": "612-245-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CESAR CHAVEZ ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072226",
            "telephone_number": "651-389-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVA",
        "first_name": "SHAUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10477",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "1169- TEMP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.