Kathleen Culhane-Pera, MD

Key facts

NPI

1922067735

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

28498 (MN)

Practice address

153 Cesar Chavez St
W. St. Paul, MN 55107-2226

Phone

(651) 222-1816

Fax

(651) 222-1305

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

No

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.

• West Side Community Health Services, Inc. Federally Qualified Health Center (FQHC) · Saint Paul, MN · NPI 1821149964
  Medicare reassignment NPD MN
• West Side Community Health Services, Inc. Federally Qualified Health Center (FQHC) · Saint Paul, MN · NPI 1043187289
  NPD
• West Side Community Health Services, Inc. Federally Qualified Health Center (FQHC) · Saint Paul, MN · NPI 1699809939
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 22, 2013.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1922067735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 CESAR CHAVEZ ST",
            "city": "W. ST. PAUL",
            "state": "MN",
            "postal_code": "551072226",
            "telephone_number": "651-222-1816",
            "fax_number": "651-222-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 CESAR CHAVEZ ST",
            "city": "W. ST. PAUL",
            "state": "MN",
            "postal_code": "551072226",
            "telephone_number": "651-222-1816",
            "fax_number": "651-222-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULHANE-PERA",
        "first_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "28498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0101639",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "662205400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "108476",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP10291",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T138CU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA9021019259",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W. St. Paul, MN

• Anders Paul Bengtson, PA
• Sarah Ruth Biermeier, TM,LM
• Bluesky Charter School
• Elaine Boehm, CNM
• Christine Anita Chitambar, CNP
• Kimberly Ann Figueroa, PA-C
• Generations Community Support Service
• Susan Grosse-Macemon
• John Hick, M.D.
• Patricia D Imker, PT

All providers in W. St. Paul, MN · Family Medicine Physician in Minnesota