Organization Active NPI

Arthritis Clinic & Medical Associates P.C

  • Medical Specialty Clinic/Center
  • Monticello, MN
National Provider Identifier
1922317874
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1788 Issued in MN
Legal business name
ARTHRITIS CLINIC & MEDICAL ASSOCIATES P.C
Practice address
536 Cedar St
Monticello, MN 55362-8403
Phone
(612) 226-6576
Fax
(763) 390-4035
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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

Authorized official

Name
Mrs. Seema M Rizvi
Title
Manager
Phone
(763) 390-6296

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X
Medical Specialty Clinic/Center 261QM2500X 52523 MN
Medical Specialty Clinic/Center 261QM2500X 1788 MN Primary

Addresses

Primary practice location

536 Cedar St
Monticello, MN 55362-8403

Mailing address

9749 Greenspruce CT N
Brooklyn Park, MN 55443-1515
Phone (763) 390-6296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000288 MN Part B Supplier - Clinic/Group Practice 4284817362 Receives reassigned benefits from 1 practitioner
Practice locations: Blaine, MN

National Provider Directory

National Provider Directory

Locations

11855 Ulysses St NE
Ste 250
Blaine, MN 55434
Phone 7634829598 ext. 164

11937 Central Ave NE
Minneapolis, MN 55434
Phone (763) 463-9515

536 Cedar St
Monticello, MN 55362
Phone (763) 463-9515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1922317874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 GREENSPRUCE CT N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431515",
            "telephone_number": "763-390-6296",
            "fax_number": "763-390-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628403",
            "telephone_number": "612-226-6576",
            "fax_number": "763-390-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS CLINIC & MEDICAL ASSOCIATES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-390-6296",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "52523",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "1788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.