Active NPI
Salim A Kathawalla, M.D.
- Pulmonary Disease Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 39095
- Practice address
- 6490 Excelsior Blvd
Ste W300
St Louis Park, MN 55426-4705 - Phone
- (952) 993-3242
- NPI assigned
- Dec 5, 2005
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 39095 | MN | Primary |
Addresses
Primary practice location
6490 Excelsior Blvd
Ste W300
St Louis Park, MN 55426-4705
Mailing address
6465 Wayzata Blvd
Ste 315
St Louis Park, MN 55426-1728
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
- Pulmonary Disease
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1029 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4400
1071 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4610
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 993-7750
1515 Saint Francis Ave
Shakopee, MN 55379-3387
Phone (952) 993-7750
15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440
2688 Maplewood Dr
Maplewood, MN 55109-1021
Phone (651) 254-8150
3 Century Ave SE
Hutchinson, MN 55350-3108
Phone (320) 234-3290
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-3123
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3123
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
- St Francis Regional Medical Center
- Hutchinson Health
- Centracare- Rice Memorial Hospital
- Centracare - Redwood
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Nicollet Clinic | Current | Accepting new patients | |
| Hutchinson Health | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients |
Locations
1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
1515 Saint Francis Ave
Ste 145
Shakopee, MN 55379
Phone (952) 241-5873
6490 Excelsior Blvd
Ste W300
St Louis Park, MN 55426
Phone (952) 993-3242
Interoperability endpoints
- skathawalla440126@direct.centracare.com
- skathawalla157009@direct.healthpartners.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.
-
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Redwood Falls, MN
- NPI 1194206748
-
- General Acute Care Hospital
- Willmar, MN
- NPI 1407367030
-
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
-
- General Acute Care Hospital
- Shakopee, MN
- NPI 1578520045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1760466676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 WAYZATA BLVD",
"address_2": "STE 315",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 EXCELSIOR BLVD",
"address_2": "STE W300",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264705",
"telephone_number": "952-993-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATHAWALLA",
"first_name": "SALIM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "39095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.