Individual provider Active NPI

Christine Ingrid Delmonico, M.D.

  • Emergency Medicine Physician
  • Buffalo, MN
National Provider Identifier
1649408212
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
54885 Issued in MN
Practice address
303 Catlin St
Emergency Department
Buffalo, MN 55313-1947
Phone
(763) 684-7500
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 54885 MN Primary

Addresses

Primary practice location

303 Catlin St
Emergency Department
Buffalo, MN 55313-1947

Mailing address

303 Catlin St
Emergency Department
Buffalo, MN 55313-1947
Phone (763) 684-7500

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
I20120820000465 MN Practitioner - Emergency Medicine 5799931184 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54885MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Emergency Associates, P.a. Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

Organizations & group practices 1

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1649408212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CATLIN ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131947",
            "telephone_number": "763-684-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CATLIN ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131947",
            "telephone_number": "763-684-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMONICO",
        "first_name": "CHRISTINE",
        "middle_name": "INGRID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "54885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

Verify at the official NPI Registry.