Southdale Pediatric Associates, LTD

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

196 Issued in MN

Legal business name

SOUTHDALE PEDIATRIC ASSOCIATES, LTD

Practice address

6600 France Ave S Ste 300
Edina, MN 55435-1803

Phone

(952) 831-1944

Fax

(952) 278-6947

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Saira Mitha, MD

Title

President

Phone

(952) 831-1944

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1846cf9e-8006-4277-b72f-3cbbe8a8f5ca/

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mee Lee Chun Nelson, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Burnsville, MN
  • NPI 1972510220

  MN

  Medicare reassignment Care Compare group NPD
• Britta Sundquist, M.D.

  • Allergy Physician
  • Edina, MN
  • NPI 1548550916

  MN

  Medicare reassignment Care Compare group NPD
• Timothy John Anderson, M.D.

  • Pediatrics Physician
  • Burnsville, MN
  • NPI 1245243138

  MN

  Medicare reassignment NPD
• Melissa Anne Hersey, M.D.

  • Pediatrics Physician
  • Edina, MN
  • NPI 1750551727

  MN

  Medicare reassignment NPD
• David Paul Miller, MD

  • Pediatrics Physician
  • Edina, MN
  • NPI 1851404644

  MN

  Medicare reassignment NPD
• Aaron Pinion, DO

  • Allergy & Immunology Physician
  • Elk River, MN
  • NPI 1255642294

  MN

  Medicare reassignment NPD
• Kate Follese, D.O.

  • Pediatrics Physician
  • Edina, MN
  • NPI 1255785572
  NPD
• Leah D Khan, M.D.

  • Pediatrics Physician
  • Eden Prairie, MN
  • NPI 1447584503
  NPD
• Abigail Rose Koski, DO

  • Pediatrics Physician
  • Edina, MN
  • NPI 1740910645
  NPD
• Christa Langer, M.D.

  • Pediatrics Physician
  • Eden Prairie, MN
  • NPI 1952538332
  NPD
• Meghan Rose McElreath Litke, MD

  • Pediatrics Physician
  • Edina, MN
  • NPI 1366005522

  Multi-Specialty

  NPD
• Nathan Michael Luscri, MD

  • Pediatrics Physician
  • Edina, MN
  • NPI 1629103460
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1245305895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 315",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-831-1944",
            "fax_number": "952-278-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351803",
            "telephone_number": "952-831-1944",
            "fax_number": "952-278-6947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Nicollet Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553376785",
            "country_code": "US",
            "telephone_number": "952-278-7000",
            "fax_number": "952-898-5914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 France Ave S Ste 310",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554351803",
            "country_code": "US",
            "telephone_number": "952-278-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11095 Viking Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447229",
            "country_code": "US",
            "telephone_number": "952-278-7000",
            "fax_number": "952-949-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHDALE PEDIATRIC ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "MITHA",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-831-1944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MN",
            "license": "196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065710700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southdale Anesthesiologists, LLC
• Southdale Dental Associates
• Southdale Internal Medicine PA
• Southdale Optical Co
• Southdale Otolaryngology PA
• Southdale Periodontics
• Southdale Periodontics, PLLC
• Southdale Physicians, LLC
• Southdale Specialty Surgery Center, LLC
• Southdale Transportation Services, Inc.

• All providers in Edina, MN
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.