Individual provider Active NPI

Parvathi Theerthakarai, MD

  • Family Medicine Physician
  • Shakopee, MN
National Provider Identifier
1922273978
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53215 Issued in MN
Practice address
1601 Saint Francis Ave
100
Shakopee, MN 55379-3383
Phone
(952) 428-3535
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53215 MN Primary

Addresses

Primary practice location

1601 Saint Francis Ave
100
Shakopee, MN 55379-3383

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000363 MN Practitioner - Family Practice 1456522036 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

8170 Old Carriage CT
Suite 100
Shakopee, MN 55379-3164
Phone (952) 428-3600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Family Medicine CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System Family Medicine Current Accepting new patients
St Francis Regional Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Allina Health System CurrentSince Aug 1, 2011 Accepting new patients
Allina Health System Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Twin Cities Physicians Professional Corporation CurrentSince May 16, 2023 Accepting new patients
Allina Health System CurrentSince Aug 1, 2011 Accepting new patients
St Francis Regional Medical Center Past Accepting new patients
Allina Health System Family Medicine Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

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

1415 Lilac Dr N
Ste 190
Minneapolis, MN 55422
Phone (763) 267-8701

1601 Saint Francis Ave
Ste 100
Shakopee, MN 55379
Phone (952) 403-3535

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

Interoperability endpoints

  • Direct secure messaging: ptheerthakarai168817@excellian.direct.allina.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1922273978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SAINT FRANCIS AVE",
            "address_2": "100",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793383",
            "telephone_number": "952-428-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEERTHAKARAI",
        "first_name": "PARVATHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "53215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.