Active NPI
Rory S Kortan, CRNA
- Certified Registered Nurse Anesthetist
- St Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1466326
- Practice address
- 640 Jackson Street
Mail Stop 11503P
St Paul, MN 55101-2502 - Phone
- (651) 254-3456
- Fax
- (651) 254-3048
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1466326 | MN | Primary |
Addresses
Primary practice location
640 Jackson Street
Mail Stop 11503P
St Paul, MN 55101-2502
Mailing address
8100 34TH Ave S
21110Q
Bloomington, MN 55425-1672
Phone (952) 883-5463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 524161800 | Medicaid | MN | |
| 68S33KO | Other | MN | BCBSMN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-5370
Hospital & facility affiliations
- M Health Fairview Ridges Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1466326 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southdale Anesthesiologists, LLC | Current | Accepting new patients | |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Metropolitan Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mayo Clinic | Past | Accepting new patients |
Locations
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
14101 Fairview Dr
Burnsville, MN 55337
Phone (612) 672-5346
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
640 Jackson St
Stop 11503P
Saint Paul, MN 55101
Phone (651) 254-3456
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
400 10th St E
Waconia, MN 55387
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burnsville, MN
- NPI 1649265737
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Edina, MN
- NPI 1154381804
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1386653889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 34TH AVE S",
"address_2": "21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251672",
"telephone_number": "952-883-5463",
"fax_number": "952-883-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON STREET",
"address_2": "MAIL STOP 11503P",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-3456",
"fax_number": "651-254-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORTAN",
"first_name": "RORY",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1466326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "524161800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "68S33KO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.