Active NPI
James T Pacala, MD
- Family Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35965
- Practice address
- 2020 E 28TH St
Minneapolis, MN 55407-1394 - Phone
- (612) 333-0770
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35965 | MN | Primary |
Addresses
Primary practice location
2020 E 28TH St
Minneapolis, MN 55407-1394
Mailing address
720 Washington Ave SE
University of Minnesota Physicians
Minneapolis, MN 55414
Phone (612) 884-0649
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768289 | Other | MN | ARAZ |
| 01-12876 | Other | MN | MEDICA CHOICE |
| 100591 | Other | MN | UCARE |
| 10387 | Medicaid | ND | |
| 270573700 | Medicaid | MN | |
| 7777470 | Medicaid | SD | |
| HP16908 | Other | MN | HEALTH PARTNERS |
| 1009624 | Other | MN | PREFERRED ONE |
| 10G22PA | Other | MN | BLUE CROSS BLUE SHIELD |
| 01-10796 | Other | MN | MEDICA PRIMARY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Rochester School of Medicine and Dentistry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 Maryland Ave E
Saint Paul, MN 55106-2824
Phone (651) 772-3461
1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732
2020 E 28TH St
Minneapolis, MN 55407-1394
Phone (612) 333-0770
2426 W Broadway Ave
Minneapolis, MN 55411-1735
Phone (612) 302-8200
580 Rice St
Saint Paul, MN 55103-2148
Phone (651) 227-6551
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
720 Washington Ave SE
Minneapolis, MN 55414-2924
Phone (612) 884-0649
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4750 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Cardiothoracic Surgery Clinic of North Ms | Past | Accepting new patients | |
| University Anesthesia Providers, LLC | Past | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
2426 W Broadway Ave
Minneapolis, MN 55411
Phone (612) 287-0140
2020 E 28th St
Minneapolis, MN 55407
Phone (612) 333-0770
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
Interoperability endpoints
- jpacala147762@fairview.direct-ci.com
Organizations & group practices 12
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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Clinic/Center
- Minneapolis, MN
- NPI 1043516867
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Specialist
- Saint Paul, MN
- NPI 1679048763
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Adult Mental Health Clinic/Center
- St Louis Park, MN
- NPI 1144368531
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tupelo, MS
- NPI 1154533321
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Paul, MN
- NPI 1477169233
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1689759599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WASHINGTON AVE SE",
"address_2": "UNIVERSITY OF MINNESOTA PHYSICIANS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55414",
"telephone_number": "612-884-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 E 28TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071394",
"telephone_number": "612-333-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACALA",
"first_name": "JAMES",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "35965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "768289",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "01-12876",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "100591",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10387",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270573700",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7777470",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP16908",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1009624",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10G22PA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "01-10796",
"state": "MN"
}
],
"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 Feb 20, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.