Individual provider Active NPI

Cathleen Pruitt, M.D.

  • Pediatric Cardiology Physician
  • Minneapolis, MN
National Provider Identifier
1679952428
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
71742 Issued in MN
Practice address
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone
(612) 813-8827
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 71742 MN Primary

Addresses

Primary practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Mailing address

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (650) 930-0046

Other practice location 1

81 N Mario Capecchi Dr
Salt Lake City, UT 84113
Phone (801) 213-1609

Other practice location 2

1465 South Grand Boulevard
Room 2717
St Louis, MO 63104
Phone (314) 577-5634

Other practice location 3

420 E 1st St
Duluth, MN 55805-1901
Phone (218) 786-8364

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
I20221115001276 MN Practitioner - Pediatric Medicine 6002118460 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gillette Children'S Specialty Healthcare CurrentSince Jan 10, 2023 Accepting new patients
Mayo Clinic Current Accepting new patients
Lakewood Health System CurrentSince Mar 1, 2023 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Lakewood Health System CurrentSince Mar 1, 2023 Accepting new patients
Mayo Clinic CurrentSince May 1, 2025 Accepting new patients
Gillette Children'S Specialty Healthcare CurrentSince Jan 10, 2023 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Nov 14, 2022 Accepting new patients
Cook County Hospital District CurrentSince Feb 3, 2026 Accepting new patients
Mayo Clinic CurrentSince May 1, 2025 Accepting new patients
The Duluth Clinic LTD CurrentSince Nov 14, 2022 Accepting new patients
SSM Medical Group Inc. Past Accepting new patients
Childrens Health Care Past Accepting new patients
Childrens Health Care Past Accepting new patients
Cook County Hospital District Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040

6060 Clearwater Dr
Ste 220
Minnetonka, MN 55343
Phone (651) 220-6624

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1679952428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044518",
            "telephone_number": "650-930-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044518",
            "telephone_number": "612-813-8827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 N Mario Capecchi Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84113",
            "country_code": "US",
            "telephone_number": "801-213-1609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 South Grand Boulevard",
            "address_2": "Room 2717",
            "address_purpose": "LOCATION",
            "city": "St Louis",
            "state": "MO",
            "postal_code": "63104",
            "country_code": "US",
            "telephone_number": "314-577-5634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051901",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "CATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MN",
            "license": "71742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.