Active NPI
David Aaron Quale, M.D.
- Pediatrics Physician
- Minnetonka, MN
National Provider Identifier
1891987087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50557
- Practice address
- 14001 Ridgedale Drive
Suite 100
Minnetonka, MN 55305-1781 - Phone
- (952) 473-0211
- Fax
- (952) 473-7908
- NPI assigned
- Aug 13, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 50557 | MN | Primary |
Addresses
Primary practice location
14001 Ridgedale Drive
Suite 100
Minnetonka, MN 55305-1781
Mailing address
14001 Ridgedale Drive
Suite 100
Minnetonka, MN 55305-1781
Phone (952) 473-0211
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210524001348 | MN | Order and Referring Only - Pediatric Medicine | 6406918143 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50557 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Grove Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
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
- Maple Grove, MN
- NPI 1225272552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1891987087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DRIVE",
"address_2": "SUITE 100",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051781",
"telephone_number": "952-473-0211",
"fax_number": "952-473-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DRIVE",
"address_2": "SUITE 100",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051781",
"telephone_number": "952-473-0211",
"fax_number": "952-473-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUALE",
"first_name": "DAVID",
"middle_name": "AARON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "50557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.