Elisha Arata
Individual provider Active NPI Psychiatry Physician · Saint Paul, MN
NPI 1093071508 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1093071508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 58516 (MN)
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-4786
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-4786
Hospital & facility affiliations
- Regions Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161004000544 | MN | Practitioner - Psychiatry | 2961790175 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Regions Hospital | Past | Accepting new patients | |
| Regions Hospital | Past | Accepting new patients |
Locations
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 58516 | MN | Yes |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
8170 33Rd Ave S
Bloomington, MN 55425-4516
Other providers in Saint Paul, MN
- Apple Tree Dental
- Kayla Appleby
- Apt Mobility Services LLC
- Theodore L Aquino
- Amira Y Arab
- Miguel A Arbulu
- Arcade Dental Associates PLLP
- Arcade Medical Clinic
- Arcade Pain Center, P.L.L.C.
- Emily Arcand
All providers in Saint Paul, MN · Psychiatry Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.