Organization Active NPI

JRK Medical LLC

  • Cardiovascular Disease Physician
  • Rochester, MN
National Provider Identifier
1033619515
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JRK MEDICAL LLC
Practice address
2633 Superior Dr NW Ste 100
Rochester, MN 55901-8395
Phone
(507) 322-6900
Fax
(507) 322-6967
NPI assigned
Feb 20, 2018
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Henna Kalsi, MDNPI 1902884828
Title
Owner
Phone
(734) 716-0967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

2633 Superior Dr NW Ste 100
Rochester, MN 55901-8395

Mailing address

PO Box 5865
Rochester, MN 55903-5865
Phone (630) 216-9514

Other practice location 1

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (702) 453-3799

Other practice location 2

1515 Saint Francis Ave Ste 250
Shakopee, MN 55379-4383
Phone (507) 322-6900

Other practice location 3

400 Village Center Dr Ste 800
North Oaks, MN 55127-7201
Phone (651) 765-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180712003347 MN Part B Supplier - Clinic/Group Practice 8527314053 Receives reassigned benefits from 6 practitioners
Practice locations: North Oaks, MN; Woodbury, MN; Rochester, MN; Shakopee, MN

National Provider Directory

National Provider Directory

Locations

400 Village Center Dr
Ste 800
North Oaks, MN 55127
Phone (651) 765-8346

2633 Superior Dr NW
Ste 100
Rochester, MN 55901
Phone (507) 322-6900

731 Bielenberg Dr
Ste 208
Woodbury, MN 55125
Phone (507) 322-6900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1033619515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5865",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559035865",
            "telephone_number": "630-216-9514",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 SUPERIOR DR NW STE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018395",
            "telephone_number": "507-322-6900",
            "fax_number": "507-322-6967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Sunrise Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560825376",
            "country_code": "US",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Saint Francis Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553794383",
            "country_code": "US",
            "telephone_number": "507-322-6900",
            "fax_number": "507-622-6967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Village Center Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "North Oaks",
            "state": "MN",
            "postal_code": "551277201",
            "country_code": "US",
            "telephone_number": "651-765-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JRK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "KALSI",
        "authorized_official_first_name": "HENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-716-0967",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.