Individual provider Active NPI

Reetu Syal, MD

  • Obstetrics & Gynecology Physician
  • Maplewood, MN
National Provider Identifier
1720008204
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MN46295 Issued in MN
Practice address
1737 Beam Ave
Maplewood, MN 55109-2185
Phone
(651) 770-3320
Fax
(651) 770-3684
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MN46295 MN Primary

Addresses

Primary practice location

1737 Beam Ave
Maplewood, MN 55109-2185

Mailing address

2945 Hazelwood St
Ste 210
Maplewood, MN 55109-1241
Phone (651) 770-3320

Other identifiers 1

IdentifierTypeStateIssuer
911417300MedicaidMN

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
I20031209000531 MN Practitioner - Obstetrics/Gynecology 7315843588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

2945 Hazelwood St
Suite 210
Maplewood, MN 55109-1243
Phone (651) 770-3320

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
86.35
Promoting interoperability
100
Improvement activities
40
Cost
71.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MN46295MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of Minnesota PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2012 Accepting new patients
Healtheast St. John'S Hospital Past Accepting new patients
Genneve Medical P.C. Past Accepting new patients
Metropolitan Obstetrics & Gynecology Obstetrics & Gynecology Past Accepting new patients

Locations

2945 Hazelwood St
Ste 210
Saint Paul, MN 55109
Phone (651) 770-3320

1737 Beam Ave
Saint Paul, MN 55109
Phone (612) 770-3320

971 Sibley Memorial Hwy
Ste 350
Saint Paul, MN 55118
Phone (651) 770-3320

1737 Beam Ave
Ste B
Saint Paul, MN 55109

1875 Woodwinds Dr
Ste 100
Woodbury, MN 55125
Phone (651) 232-6380

Interoperability endpoints

  • Direct secure messaging: reetu.syal.1@20897.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1720008204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST",
            "address_2": "STE 210",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091241",
            "telephone_number": "651-770-3320",
            "fax_number": "651-770-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092185",
            "telephone_number": "651-770-3320",
            "fax_number": "651-770-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYAL",
        "first_name": "REETU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "MN46295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911417300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.