Individual provider Active NPI

Maureen Honish, MD

  • Pediatrics Physician
  • West Saint Paul, MN
National Provider Identifier
1598944134
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
50264 Issued in MN
Practice address
963 Robert St S
West Saint Paul, MN 55118-1446
Phone
(651) 726-9500
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 50264 MN Primary

Addresses

Primary practice location

963 Robert St S
West Saint Paul, MN 55118-1446

Mailing address

284 Albert St S
Saint Paul, MN 55105-2459

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
I20241017002004 MN Practitioner - Pediatric Medicine 0648702407 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinic Network CurrentSince Aug 12, 2024 Accepting new patients
Children'S Clinic Network CurrentSince Aug 12, 2024 Accepting new patients
Metropolitan Pediatric Specialists, P.a. Past Accepting new patients

Locations

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

963 Robert St S
West St Paul, MN 55118
Phone (651) 726-9500

1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1598944134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 ALBERT ST S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 ROBERT ST S",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181446",
            "telephone_number": "651-726-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONISH",
        "first_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "50264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.