Active NPI
Kavitha Malango, NP
- Nurse Practitioner
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7224
- Practice address
- 15700 37TH Ave N Ste 300
Plymouth, MN 55446-3661 - Phone
- (612) 871-1145
- NPI assigned
- Feb 21, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7224 | MN | Primary |
Addresses
Primary practice location
15700 37TH Ave N Ste 300
Plymouth, MN 55446-3661
Mailing address
3001 Broadway St NE Ste 500
Minneapolis, MN 55413-2197
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15700 37TH Ave N
Suite 300
Plymouth, MN 55446-3661
Phone (612) 871-1145
Hospital & facility affiliations
- North Memorial Health Hospital
- Maple Grove Hospital
- Mercy Hospital
- M Health Fairview Southdale Hospital
- M Health Fairview Ridges Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7224 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mngi Digestive Health, P.a. | Current | Accepting new patients | |
| Fareed Clinic, PLLC | Current | Accepting new patients |
Locations
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
3001 Broadway St NE
Ste 500
Minneapolis, MN 55413
Phone (612) 870-5557
3455 Plymouth Blvd
Ste 202
Plymouth, MN 55447
Phone (763) 447-4687
15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008
15700 37th Ave N
Ste 300
Plymouth, MN 55446
Phone (612) 870-5555
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kavitha.malangonp.p1@direct.mngastro.nextgenshare.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Minneapolis, MN
- NPI 1609804541
-
- Primary Care Clinic/Center
- Plymouth, MN
- NPI 1649995317
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Addiction (Substance Use Disorder) Psychologist
- Fridley, MN
- NPI 1083197214
Hospital
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1215755400
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Fridley, MN
- NPI 1285692145
-
- General Acute Care Hospital
- Coon Rapids, MN
- NPI 1316904287
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fridley, MN
- NPI 1598700528
Hospital
-
- Psychiatric Hospital Unit
- Fridley, MN
- NPI 1609056100
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1285267922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 BROADWAY ST NE STE 500",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15700 37TH AVE N STE 300",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463661",
"telephone_number": "612-871-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALANGO",
"first_name": "KAVITHA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "7224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.