NPIMap

Organization Active NPI

Altea Medical Minnesota PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Cloud, MN
National Provider Identifier
1245022565
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
ALTEA MEDICAL MINNESOTA PLLC
Practice address
1717 University Dr SE
Saint Cloud, MN 56304-2023
Phone
(888) 408-7008
NPI assigned
May 21, 2025
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Mary Belen Arndt
Title
VP of Revenue Cycle and Contracting
Phone
(888) 408-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1717 University Dr SE
Saint Cloud, MN 56304-2023

Mailing address

400 E Rivulon Blvd Ste 103
Gilbert, AZ 85297-0096

Other practice location 1

445 Galtier St
Saint Paul, MN 55103-2358
Phone (888) 408-7008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910002253 MN Part B Supplier - Clinic/Group Practice 3072016732 Receives reassigned benefits from 17 practitioners
Practice locations: Edina, MN; Saint Cloud, MN; Saint Paul, MN; Wadena, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1245022565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RIVULON BLVD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 UNIVERSITY DR SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563042023",
            "telephone_number": "888-408-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Galtier St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551032358",
            "country_code": "US",
            "telephone_number": "888-408-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTEA MEDICAL MINNESOTA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BELEN",
        "authorized_official_title_or_position": "VP OF REVENUE CYCLE AND CONTRACTING",
        "authorized_official_telephone_number": "888-408-7008"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.