Individual provider Active NPI

Arati Kumari Gudage, MD

  • Family Medicine Physician
  • Monticello, MN
National Provider Identifier
1154347953
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45724 Issued in MN
Practice address
1001 Hart Blvd
Suite 100
Monticello, MN 55362-8670
Phone
(763) 295-2921
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45724 MN Primary

Addresses

Primary practice location

1001 Hart Blvd
Suite 100
Monticello, MN 55362-8670

Mailing address

1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 682-1313

Other names 1

  • Arathi Kumari Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agudage3357@direct.northmemorial.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000202 MN Practitioner - Family Practice 6608778725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stellis Health, PAGroup PAC ID 1153233796, 54 clinicians

Practice addresses (Care Compare)

1001 Hart Blvd
Suite 100
Monticello, MN 55362-8929
Phone (763) 682-1313

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stellis Health, PA Current Accepting new patients
Stellis Health, PA CurrentSince Mar 1, 2005 Accepting new patients

Locations

1700 Highway 25 N
Hanover, MN 55313
Phone (763) 682-1313

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1001 Hart Blvd
Ste 100
Monticello, MN 55362
Phone (763) 295-2921

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.

Hospital & facility affiliations 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1154347953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 25 N",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131930",
            "telephone_number": "763-682-1313",
            "fax_number": "763-581-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HART BLVD",
            "address_2": "SUITE 100",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628670",
            "telephone_number": "763-295-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDAGE",
        "first_name": "ARATI",
        "middle_name": "KUMARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "45724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agudage3357@direct.northmemorial.com",
            "affiliation": "N",
            "address_1": "1001 Hart Blvd",
            "address_2": "Suite 100",
            "city": "Monticello",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553628670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARATHI",
            "last_name": "KUMARI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, MN

Sources for this page

Verify at the official NPI Registry.