Active NPI
Mahendra Sukharan
- Licensed Practical Nurse
- Minneapolis, MN
National Provider Identifier
1669340626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 826887
- Practice address
- 1 Veterans Dr
Minneapolis, MN 55417-2309 - Phone
- (612) 725-2000
- NPI assigned
- Oct 29, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 826887 | MN | Primary |
Addresses
Primary practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Mailing address
11873 Woodbine St NW
Coon Rapids, MN 55433-2675
Phone (763) 350-2763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 826887 | MN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1669340626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11873 WOODBINE ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332675",
"telephone_number": "763-350-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "612-725-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKHARAN",
"first_name": "MAHENDRA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MN",
"license": "826887",
"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 Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.