Active NPI
Rita Marie Cortese, M.D.
- Pediatrics Physician
- Champlin, MN
National Provider Identifier
1992751978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01050228
- Practice address
- 12142 Business Park Blvd N
Champlin, MN 55316-4525 - Phone
- (952) 977-0500
- Fax
- (952) 977-0501
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01050228 | IN | Primary |
Addresses
Primary practice location
12142 Business Park Blvd N
Champlin, MN 55316-4525
Mailing address
12142 Business Park Blvd N
Champlin, MN 55316-4525
Phone (952) 977-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050228 | IN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1992751978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12142 BUSINESS PARK BLVD N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553164525",
"telephone_number": "952-977-0500",
"fax_number": "952-977-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12142 BUSINESS PARK BLVD N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553164525",
"telephone_number": "952-977-0500",
"fax_number": "952-977-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTESE",
"first_name": "RITA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01050228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champlin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.