Active NPI
Shruti Ulhas Hegde, PA-C
- Physician Assistant
- Edina, MN
National Provider Identifier
1669303616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15721
- Practice address
- 6500 Barrie Rd
Edina, MN 55435-2306 - Phone
- (952) 368-3800
- Fax
- (952) 368-3801
- NPI assigned
- May 28, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15721 | MN | Primary |
Addresses
Primary practice location
6500 Barrie Rd
Edina, MN 55435-2306
Mailing address
6500 Barrie Rd
Edina, MN 55435-2306
Phone (952) 368-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15721 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1669303616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 BARRIE RD",
"city": "EDINA",
"state": "MN",
"postal_code": "554352306",
"telephone_number": "952-368-3800",
"fax_number": "952-368-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 BARRIE RD",
"city": "EDINA",
"state": "MN",
"postal_code": "554352306",
"telephone_number": "952-368-3800",
"fax_number": "952-368-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGDE",
"first_name": "SHRUTI",
"middle_name": "ULHAS",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "MN",
"license": "15721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.