Individual provider Active NPI

Andrew W Kiragu, MD

  • Pediatric Critical Care Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1932128147
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
39358 Issued in MN
Practice address
2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387
Phone
(612) 813-3300
Fax
(612) 813-3349
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 39358 MN
Pediatric Critical Care Medicine Physician 2080P0203X 39358 MN Primary

Addresses

Primary practice location

2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387

Mailing address

2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387
Phone (612) 813-3300

Other practice location 1

701 Park Ave
G7
Minneapolis, MN 55415-1623
Phone (612) 873-4075

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
I20070228000482 MN Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 3971605551 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System Inc CurrentSince Jan 1, 2012 Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2020 Accepting new patients
North Memorial Health Care Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Centracare Clinic CurrentSince Oct 1, 2022 Accepting new patients
Centracare Clinic CurrentSince Oct 1, 2022 Accepting new patients
The Duluth Clinic, LTD CurrentSince Oct 18, 2013 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 1, 2012 Accepting new patients
Children'S Respiratory & Critical Care Specialists. P.a. CurrentSince Feb 14, 2010 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 18, 2013 Accepting new patients
North Memorial Health Care CurrentSince Mar 1, 2020 Accepting new patients
Hennepin Faculty Associates Past Accepting new patients
Gillette Children'S Specialty Healthcare PastSince Jul 12, 2020 Accepting new patients
Childrens Health Care Past Accepting new patients
Gillette Children'S Specialty Healthcare Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

2530 Chicago Ave
Ste 400
Minneapolis, MN 55404
Phone (612) 813-3300

914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

914 S 8th St
Ste D4
Minneapolis, MN 55404
Phone (612) 347-3744

701 Park Ave
#G7
Minneapolis, MN 55415
Phone (612) 873-2686

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Children'S Hospitals and Clinics of MinnesotaMinneapolis, MN, CCN 243302A Hospital Corporate Director Feb 20, 2025
Children'S Home Care & HospiceMinneapolis, MN, CCN 247110 Home health agency Corporate Director Feb 20, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1932128147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044387",
            "telephone_number": "612-813-3300",
            "fax_number": "612-813-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044387",
            "telephone_number": "612-813-3300",
            "fax_number": "612-813-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_2": "G7",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRAGU",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MN",
            "license": "39358",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MN",
            "license": "39358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.