Active NPI
Alonso Carrasco Jr., MD
- Pediatric Urology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 54064
- Practice address
- 2530 Chicago Ave Ste 550
Minneapolis, MN 55404-4293 - Phone
- (612) 813-8000
- Fax
- (612) 813-8005
- NPI assigned
- Jul 8, 2010
- Last updated
- Oct 28, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 54064 | MN | Primary |
| Pediatric Urology Physician | 2088P0231X | 04-39904 | KS | |
| Pediatric Urology Physician | 2088P0231X | DR.0055046 | CO | |
| Pediatric Urology Physician | 2088P0231X | 2017002201 | MO | |
| Pediatric Urology Physician | 2088P0231X | V8469 | TX |
Addresses
Primary practice location
2530 Chicago Ave Ste 550
Minneapolis, MN 55404-4293
Mailing address
4530 77TH St W Ste 205
Edina, MN 55435-5003
Phone (612) 813-8000
Other practice location 1
5400 Alameda Ave Bldg B
El Paso, TX 79905-2914
Phone (915) 242-8402
Other practice location 2
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0055046 | CO | MD | Pediatric Urology Physician |
| 04-39904 | KS | MD | Pediatric Urology Physician |
| V8469 | TX | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| Pediatric Surgical Associates LTD | Pediatric Urology | Current | Accepting new patients |
| Innovis Health LLC | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Innovis Health, LLC | Current | Accepting new patients | |
| Gillette Children's Specialty Healthcare | Current | Accepting new patients | |
| Innovis Health LLC | Current | Accepting new patients | |
| Gillette Children's Specialty Healthcare | Current | Accepting new patients | |
| Kansas City Vascular & General Surgery Group LLC | Past | Accepting new patients | |
| Childrens Health Care | Past | Accepting new patients |
Locations
2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 813-8006
4530 77th St W
Ste 205
Minneapolis, MN 55435
Phone (952) 835-3375
200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848
5354 Edgewood Dr
Saint Paul, MN 55112
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gillette Children's Professional Services
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1225119175
-
- Pediatric Surgery Physician
- Minneapolis, MN
- NPI 1093778292
Pediatric Urology
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1982090528
-
dba Essentia Health-Osgood Clinic
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
-
dba Essentia Health 32nd Avenue Clinic
- Family Medicine Physician
- Fargo, ND
- NPI 1578907655
-
dba CHI St. Alexius Health
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
- Vascular Surgery Physician
- Overland Park, KS
- NPI 1295968865
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793145600000",
"number": "1710299706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 77TH ST W STE 205",
"city": "EDINA",
"state": "MN",
"postal_code": "554355003",
"telephone_number": "612-813-8000",
"fax_number": "952-835-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CHICAGO AVE STE 550",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044293",
"telephone_number": "612-813-8000",
"fax_number": "612-813-8005"
}
],
"practiceLocations": [
{
"address_1": "5400 Alameda Ave Bldg B",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052914",
"country_code": "US",
"telephone_number": "915-242-8402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4845 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-298-5444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRASCO",
"first_name": "ALONSO",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2026-10-28",
"certification_date": "2026-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "MN",
"license": "54064",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "KS",
"license": "04-39904",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "CO",
"license": "DR.0055046",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "MO",
"license": "2017002201",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "TX",
"license": "V8469",
"primary": false
}
],
"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 28, 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.
- 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.