NPIMap

Organization Active NPI

Minnesota Neonatal Physicians PA

  • Neonatal-Perinatal Medicine Physician
  • Maple Grove, MN
National Provider Identifier
1881690097
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
1251 Issued in MN
Legal business name
MINNESOTA NEONATAL PHYSICIANS PA
Practice address
9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone
(612) 322-6903
NPI assigned
Jun 22, 2005
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Richard Maki
Title
Business Manager
Phone
(612) 322-6905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 1251 MN Primary

Addresses

Primary practice location

9875 Hospital Dr
Maple Grove, MN 55369-4648

Mailing address

9325 Upland LN N Ste 360
Maple Grove, MN 55369-4463
Phone (612) 322-6903

Other practice location 1

9550 Upland Ln N Ste 220
Maple Grove, MN 55369-4484
Phone (612) 902-8595

Other practice location 2

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (612) 322-6903

Other names 1

  • Neonatology, P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

9555 Upland Ln N
Ste 220
Maple Grove, MN 55369

2525 Chicago Ave
Ste 512
Minneapolis, MN 55404

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1881690097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 360",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694463",
            "telephone_number": "612-322-6903",
            "fax_number": "763-416-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 HOSPITAL DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694648",
            "telephone_number": "612-322-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9550 Upland Ln N Ste 220",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694484",
            "country_code": "US",
            "telephone_number": "612-902-8595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Oakdale Ave N",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222926",
            "country_code": "US",
            "telephone_number": "612-322-6903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINNESOTA NEONATAL PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "612-322-6905"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MN",
            "license": "1251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neonatology, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Neonatology, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.