Active NPI
Peter I Karachunski, MD
- Child & Adolescent Psychiatry Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 47339
- Practice address
- 2450 Riverside Ave SE
Minneapolis, MN 55455-5545 - Phone
- (612) 365-6777
- Fax
- (612) 365-8021
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 47339 | MN | Primary |
Addresses
Primary practice location
2450 Riverside Ave SE
Minneapolis, MN 55455-5545
Mailing address
2450 Riverside Ave SE
Minneapolis, MN 55454-1450
Phone (612) 365-6777
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-00144 | Other | MEDICA-PRIMARY | |
| 2378185 | Other | ARAZ | |
| C002 | Other | CHAMPUS | |
| HP54585 | Other | HEALTH PARTNERS | |
| 497K2KA | Other | MN | BLUE CROSS BLUE SHIELD |
| 05-00682 | Other | MEDICA-CHOICE | |
| 1044949 | Other | PREFERRED ONE | |
| 135153 | Other | U CARE | |
| 0144625 | Medicaid | MT | |
| 0595983 | Medicaid | IA | |
| 23954-1 | Other | FAIRVIEW CAREGIVER ID | |
| 34668100 | Medicaid | WI |
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
- Neurology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2512 S 7TH St
Minneapolis, MN 55454-1404
Phone (612) 672-7422
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
2512 S 7th St
Fl 3
Minneapolis, MN 55454
Phone (612) 365-6777
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848
215 Radio Dr
Woodbury, MN 55125
Phone (612) 596-6100
215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100
Interoperability endpoints
- pkarachunski148078@fairview.direct-ci.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Rehabilitation Clinic/Center
- Woodbury, MN
- NPI 1285250977
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Medical Specialty Clinic/Center
- Woodbury, MN
- NPI 1992289490
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1952546061
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1720176308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-365-6777",
"fax_number": "612-365-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554555545",
"telephone_number": "612-365-6777",
"fax_number": "612-365-8021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARACHUNSKI",
"first_name": "PETER",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "47339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-PRIMARY",
"identifier": "05-00144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "2378185",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "C002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP54585",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "497K2KA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-CHOICE",
"identifier": "05-00682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1044949",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "135153",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0144625",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0595983",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAIRVIEW CAREGIVER ID",
"identifier": "23954-1",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34668100",
"state": "WI"
}
],
"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 4, 2017; 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.