Active NPI
Carla M Miguel
- Student in an Organized Health Care Education/Training Program
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 420 Delaware St SE
Minneapolis, MN 55455-0341 - Phone
- (612) 625-8364
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 79472 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
420 Delaware St SE
Minneapolis, MN 55455-0341
Mailing address
1818 Decatur Ave
North Bellmore, NY 11710-1506
Phone (516) 761-1608
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- M Health Fairview St John'S Hospital
- M Health Fairview Southdale Hospital
- M Health Fairview Woodwinds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1875 Woodwinds Dr
Ste WL20
Woodbury, MN 55125
Phone (651) 232-0500
Interoperability endpoints
- cmiguel2675254@fairview.direct-ci.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Clinic/Center
- Minneapolis, MN
- NPI 1841428745
-
- Clinic/Center
- Maplewood, MN
- NPI 1164154316
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1356979769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 DECATUR AVE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101506",
"telephone_number": "516-761-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-625-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGUEL",
"first_name": "CARLA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "79472",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.