Active NPI
Sandra Ogato, PA-C
- Physician Assistant
- Lakeville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12676
- Practice address
- 18275 Kenrick Ave
Lakeville, MN 55044-7306 - Phone
- (866) 389-2727
- NPI assigned
- Jan 18, 2018
- Last updated
- Oct 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12676 | MN | Primary |
Addresses
Primary practice location
18275 Kenrick Ave
Lakeville, MN 55044-7306
Mailing address
19131 Harappa Ave
Lakeville, MN 55044-4776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023526506 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Phone (763) 528-6999
1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860
14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000
18580 Joplin Ave
Lakeville, MN 55044-4218
Phone (952) 892-9555
1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6800
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
2945 Hazelwood St
Suite 100
Maplewood, MN 55109-1242
Phone (651) 232-7800
303 E Nicollet Blvd
Burnsville, MN 55337-4588
Phone (952) 460-4000
3305 Central Park Village Dr
Eagan, MN 55121-7707
Phone (651) 406-8860
600 W 98TH St
Bloomington, MN 55420-4773
Phone (952) 881-2651
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
6545 France Ave S
Suite 150
Edina, MN 55435-2180
Phone (952) 848-5600
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 91.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
6545 France Ave S
Ste 150
Edina, MN 55435
Phone (952) 848-5600
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
3305 Central Park Village Dr
#130
Saint Paul, MN 55121
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- sogato366820@fairview.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
dba HealthEast Tamarack Clinic
- Family Medicine Physician
- Woodbury, MN
- NPI 1588063580
-
dba Fairview Clinics-New Brighton
- Primary Care Clinic/Center
- New Brighton, MN
- NPI 1881673002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1023526506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19131 HARAPPA AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18275 KENRICK AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550447306",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGATO",
"first_name": "SANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023526506",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.