NORTHEAST PEDIATRIC CLINIC P.A. – Primary Care Clinic/Center, NPI 1730162371

NORTHEAST PEDIATRIC CLINIC P.A. is a healthcare provider. based in Vadnais heights, Minnesota. specializing in Primary Care Clinic/Center. The NPI Number for NORTHEAST PEDIATRIC CLINIC P.A. is 1730162371

Main info

Organization
Name
NORTHEAST PEDIATRIC CLINIC P.A.
NPI
1730162371
Phone
(651) 426-1141
Address
4520 CENTERVILLE RD
Authorized Official
DR. MARY ANN LEUKUMA CEO M.D.
Enumeration Date
29 November 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for NORTHEAST PEDIATRIC CLINIC P.A.

  • 4520, Centerville Road, White Bear Lake, Ramsey County, Minnesota, 55127, United States

    VADNAIS HEIGHTS, MN 551273602

    Phone: (651) 426-1141

    Fax: (651) 426-1705

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55127)

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Reviews

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Frequently asked questions

What number should I use to identify NORTHEAST PEDIATRIC CLINIC P.A. for billing?
Administrative and clinical systems typically use NPI 1730162371 for NORTHEAST PEDIATRIC CLINIC P.A..
Does the public listing show NORTHEAST PEDIATRIC CLINIC P.A. as active?
NORTHEAST PEDIATRIC CLINIC P.A.'s NPI record reflects an active status in NPPES.
How should patients interpret NORTHEAST PEDIATRIC CLINIC P.A.'s specialty?
The extract shows Primary Care Clinic/Center for NORTHEAST PEDIATRIC CLINIC P.A.. Clinical services aligned with this taxonomy classification.
Which community is linked to NORTHEAST PEDIATRIC CLINIC P.A.?
NORTHEAST PEDIATRIC CLINIC P.A. shows a connection to Vadnais Heights, Minnesota in registry-derived data.
Can I export NORTHEAST PEDIATRIC CLINIC P.A.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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