Kathleen Carlson, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Saint Paul, MN
NPI 1962778050 · NPPES record last updated Dec 6, 2017
Key facts
- NPI
- 1962778050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 62892 (MN)
- Practice address
- 225 Smith Ave N Ste 400
Saint Paul, MN 55102-2568 - Phone
- (651) 290-0133
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 37
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of North Dakota School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
225 Smith Ave N
Suite 400
St Paul, MN 55102-2568
Phone (651) 241-7176
Hospital & facility affiliations
- Mercy Hospital
- Buffalo Hospital
- Abbott Northwestern Hospital
- M Health Fairview University of MN Medical Center
- Welia Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171109000694 | MN | Practitioner - Cardiovascular Disease (Cardiology) | 5294952289 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212
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
4040 Coon Rapids Blvd NW
Ste 120
Minneapolis, MN 55433
Phone (763) 427-9980
225 Smith Ave N
Ste 400
Saint Paul, MN 55102
Phone (651) 241-7176
Interoperability endpoints
- kcarlson378706@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 62892 | MN | Yes |
Addresses
Primary practice location
225 Smith Ave N Ste 400
Saint Paul, MN 55102-2568
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other providers in Saint Paul, MN
- Britta A Carlson
- Elizabeth Carlson
- Emily L Carlson
- Jamie Carlson
- Kailee Carlson
- Lauren Mary Carlson
- Megan Elyse Carlson
- Mikayla Carlson
- Nancy Annette Carlson
- Noah Roberts Carlson
All providers in Saint Paul, MN · Cardiovascular Disease Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.