NPIMap

Organization Active NPI

Ear Institutes, LLC

Doing business as MN Ear & Sinus Center

  • Otolaryngology Physician
  • Blaine, MN
National Provider Identifier
1881168441
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
EAR INSTITUTES, LLC
Doing business as
MN Ear & Sinus Center
Practice address
4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544
Phone
(888) 938-3838
NPI assigned
Jan 17, 2019
Last updated
Jul 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Dr. Madan Kandula, MDNPI 1275521288
Title
Ceo
Phone
(888) 938-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other names 1

  • MN Ear & Sinus Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190626002606 MN Part B Supplier - Clinic/Group Practice 4880928761 Receives reassigned benefits from 12 practitioners
Practice locations: Blaine, MN; Woodbury, MN; Maple Grove, MN; Eagan, MN; Eden Prairie, MN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

845 Vikings Pkwy
Ste B
Eagan, MN 55121
Phone (651) 650-0500

6640 Shady Oak Rd
Ste 255
Eden Prairie, MN 55344

9325 Upland Ln N
Ste 200
Maple Grove, MN 55369

4365 Pheasant Ridge Dr NE
Ste 106
Minneapolis, MN 55449
Phone (763) 296-3277

8401 Seasons Pkwy
Ste 300
Woodbury, MN 55125

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1881168441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 PHEASANT RIDGE DR NE STE 106",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494544",
            "telephone_number": "888-938-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR INSTITUTES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "KANDULA",
        "authorized_official_first_name": "MADAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-938-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MN Ear & Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MN Ear & Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.