Active NPI
Lydia Beth Caros, D.O.
- Pediatrics Physician
- Minneapolis, MN
National Provider Identifier
1770519571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27227
- Practice address
- 1213 E Franklin Ave
Minneapolis, MN 55404-2923 - Phone
- (612) 872-8086
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27227 | MN | Primary |
Addresses
Primary practice location
1213 E Franklin Ave
Minneapolis, MN 55404-2923
Mailing address
1213 E Franklin Ave
Minneapolis, MN 55404-2923
Phone (612) 872-8086
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051922 | Medicaid | MT | |
| 30086800 | Medicaid | WI | |
| 7777470 | Medicaid | SD | |
| 12-07806 | Other | MN | MEDICA CHOICE & PRIMARY |
| HP18239 | Other | MN | HEALTHPARTNERS |
| 0514158 | Medicaid | IA | |
| 10387 | Medicaid | ND | |
| 110871 | Other | MN | UCARE |
| 1053367 | Other | MN | ARAZ |
| 06G08CA | Other | MN | BCBS |
| 1017822 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27227 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770519571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 E FRANKLIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554042923",
"telephone_number": "612-872-8086",
"fax_number": "612-872-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 E FRANKLIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554042923",
"telephone_number": "612-872-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROS",
"first_name": "LYDIA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "27227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051922",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30086800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7777470",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE & PRIMARY",
"identifier": "12-07806",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP18239",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0514158",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10387",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "110871",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "1053367",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "06G08CA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1017822",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.