Individual provider Active NPI

Natalia Wiatros, DO

  • Obstetrics & Gynecology Physician
  • Minnetonka, MN
National Provider Identifier
1326509704
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
75839 Issued in MN
Practice address
14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747
Phone
(952) 249-2000
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 75839 MN Primary

Addresses

Primary practice location

14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747

Mailing address

5478 Golfview Ave N
Oakdale, MN 55128-1003
Phone (651) 895-4403

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
I20240529001736 MN Practitioner - Obstetrics/Gynecology 5698002426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Suite 440
Chaska, MN 55318-1460
Phone (952) 249-2000

Hospital & facility affiliations

  • M Health Fairview Southdale Hospital Hospital, Edina, MN, CCN 240078
  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
86.35
Promoting interoperability
100
Improvement activities
40
Cost
71.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75839MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of Minnesota PLLC Obstetrics & Gynecology CurrentSince Apr 15, 2024 Accepting new patients
Ridgeview Medical Center PastSince Apr 15, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients
Metropolitan Obstetrics & Gynecology Obstetrics & Gynecology PastSince Sep 24, 2023 Accepting new patients

Locations

111 Hundertmark Rd
Ste 410
Chaska, MN 55318
Phone (952) 249-2000

111 Hundertmark Rd
Ste 440
Chaska, MN 55318
Phone (952) 249-2000

14001 Ridgedale Dr
Ste 200
Minnetonka, MN 55305
Phone (952) 249-2000

10900 Wayzata Blvd
Ste 640
Minnetonka, MN 55305

560 S Maple St
Ste 220
Waconia, MN 55387
Phone (952) 442-8011

Interoperability endpoints

  • Direct secure messaging: natalia.wiatros.1@20897.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1326509704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 GOLFVIEW AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551281003",
            "telephone_number": "651-895-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 RIDGEDALE DR STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051747",
            "telephone_number": "952-249-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIATROS",
        "first_name": "NATALIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "75839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.