Individual provider Active NPI

Adriana M Klucar-Stoudt, DO

  • Emergency Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1346351467
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45015 Issued in MN
Practice address
2525 Chicago Avenue South
Childrens Hospital and Clinics Emergency Physicians MPL
Minneapolis, MN 55404
Phone
(612) 813-6111
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45015 MN Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 45015 MN
Pediatrics Physician 208000000X 45015 MN
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 45015 MN

Addresses

Primary practice location

2525 Chicago Avenue South
Childrens Hospital and Clinics Emergency Physicians MPL
Minneapolis, MN 55404

Mailing address

2910 Centre Pointe Drive
35-121A Childrens Health Care
Roseville, MN 55113
Phone (651) 855-2109

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
I20150511001179 MN Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0648599829 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45015MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Pediatrics CurrentSince Feb 1, 2015 Accepting new patients
Ridgeview Medical Center CurrentSince Dec 12, 2025 Accepting new patients
Childrens Health Care Pediatrics Current Accepting new patients
Ridgeview Medical Center CurrentSince Dec 12, 2025 Accepting new patients
Childrens Health Care CurrentSince Feb 1, 2015 Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients

Locations

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 120
Chaska, MN 55318
Phone (952) 856-4001

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346351467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CENTRE POINTE DRIVE",
            "address_2": "35-121A CHILDRENS HEALTH CARE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-855-2109",
            "fax_number": "651-855-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHICAGO AVENUE SOUTH",
            "address_2": "CHILDRENS HOSPITAL AND CLINICS EMERGENCY PHYSICIANS MPL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-813-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUCAR-STOUDT",
        "first_name": "ADRIANA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "45015",
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "MN",
            "license": "45015",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "45015",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MN",
            "license": "45015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.