Active NPI
Katie Corcoran, M.D.
- Obstetrics & Gynecology Physician
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 62078
- Practice address
- 9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768 - Phone
- (763) 587-7900
- Fax
- (763) 494-7501
- NPI assigned
- May 28, 2014
- Last updated
- Mar 14, 2023
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 62078 | MN | Primary |
Addresses
Primary practice location
9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Mailing address
9201 W Broadway Ave Ste 601
Brooklyn Park, MN 55445-1924
Phone (763) 587-7900
Other practice location 1
5109 36th Ave N
Crystal, MN 55422-2007
Phone (763) 587-7900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Chicago College of Medicine and Surgery, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9825 Hospital Dr
Suite 300
Maple Grove, MN 55369-4768
Phone (763) 587-7900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62078 | MN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clinic, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| North Clinic, PA | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Maple Grove Hospital Corporation | Past | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
9825 Hospital Dr
Ste 300
Maple Grove, MN 55369
Phone (763) 494-7500
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
5109 36th Ave N
Minneapolis, MN 55422
Phone (630) 632-2648
9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933
50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625
Interoperability endpoints
- katie.corcoran@nor.eclinicaldirectplus.com
Organizations & group practices 5
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 Voyage Healthcare
- Family Medicine Physician
- Brooklyn Park, MN
- NPI 1114962206
Obstetrics & Gynecology
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
dba Allina Health Centennial Lakes Clinic
- Family Medicine Physician
- Edina, MN
- NPI 1699014167
-
dba Voyage Healthcare
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1225272552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1164834826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 W BROADWAY AVE STE 601",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554451924",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 HOSPITAL DR STE 300",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694768",
"telephone_number": "763-587-7900",
"fax_number": "763-494-7501"
}
],
"practiceLocations": [
{
"address_1": "5109 36th Ave N",
"address_purpose": "LOCATION",
"city": "Crystal",
"state": "MN",
"postal_code": "554222007",
"country_code": "US",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORCORAN",
"first_name": "KATIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "62078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.