Individual provider Active NPI

Meredith Kasbohm, M.D.

  • Obstetrics Physician
  • Edina, MN
National Provider Identifier
1881886018
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
51499 Issued in MN
Practice address
6565 France Ave S
Suite 200
Edina, MN 55435-2137
Phone
(952) 806-0011
Fax
(952) 806-9741
NPI assigned
Aug 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 51499 MN Primary

Addresses

Primary practice location

6565 France Ave S
Suite 200
Edina, MN 55435-2137

Mailing address

6565 France Ave S
Suite 200
Edina, MN 55435-2137
Phone (952) 806-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000057 MN Practitioner - Obstetrics/Gynecology 3870645302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51499MNMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Obstetrics and Gynecology Associates, P.a. CurrentSince Jan 1, 2011 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients

Locations

305 E Nicollet Blvd
Ste 170
Burnsville, MN 55337
Phone (952) 435-4190

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1881886018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S",
            "address_2": "SUITE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "952-806-0011",
            "fax_number": "952-806-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S",
            "address_2": "SUITE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "952-806-0011",
            "fax_number": "952-806-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASBOHM",
        "first_name": "MEREDITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MN",
            "license": "51499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.