Individual provider Active NPI

Henna Kalsi, M.D.

  • Cardiovascular Disease Physician
  • Woodbury, MN
National Provider Identifier
1902884828
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
47952 Issued in MN
Practice address
731 Bielenberg Dr Ste 208
Woodbury, MN 55125-1700
Phone
(651) 765-8346
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 47952 MN Primary

Addresses

Primary practice location

731 Bielenberg Dr Ste 208
Woodbury, MN 55125-1700

Mailing address

PO Box 5865
Rochester, MN 55903-5865
Phone (702) 453-3799

Other practice location 1

400 Village Center Dr Ste 800
North Oaks, MN 55127-7201
Phone (651) 765-8346

Other practice location 2

2633 Superior Dr NW
Rochester, MN 55901-8522
Phone (507) 322-6900

Other identifiers 4

IdentifierTypeStateIssuer
250045100MedicaidMN
ENROLLEDMedicaidIA
P00413288OtherMNRAILROAD MEDICARE
35175600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050927001263 MN Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Hospitalist 6800877028 Reassigns benefits to 1 organization
I20180710000484 WI Practitioner - HospitalistPractitioner - Internal Medicine 6800877028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JRK Medical LLCGroup PAC ID 8527314053, 2 clinicians

Practice addresses (Care Compare)

1515 Saint Francis Ave
Suite 250
Shakopee, MN 55379-4383
Phone (507) 322-6900

2633 Superior Dr NW
Suite 100
Rochester, MN 55901-8395
Phone (507) 322-6900

731 Bielenberg Dr
Suite 208
Woodbury, MN 55125-1700
Phone (507) 322-6900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jun 1, 2018 Accepting new patients
Riverview Acquisition Company, LLC Past Accepting new patients
Pain Control Center of New Jersey LLC Cardiovascular Disease PastSince Dec 1, 2023 Accepting new patients
Rural Physicians Group-Pannu PLLC Past Accepting new patients
S Pannu Inc Past Accepting new patients

Locations

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Organizations & group practices 7

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1902884828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5865",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559035865",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 BIELENBERG DR STE 208",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251700",
            "telephone_number": "651-765-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Village Center Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "North Oaks",
            "state": "MN",
            "postal_code": "551277201",
            "country_code": "US",
            "telephone_number": "651-765-8346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 Superior Dr NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559018522",
            "country_code": "US",
            "telephone_number": "507-322-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALSI",
        "first_name": "HENNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "47952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250045100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00413288",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35175600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.