My Medical Clinic PLLC
NPI 1215344742 · Multi-Specialty Clinic/Center · Maplewood, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1215344742
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chaitanya Anand, Cmd/Founder and Owner(651) 484-6923
- License
- 45908 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4130 Blackhawk Rd Ste 112Eagan, MN 55122-1700Phone: (651) 484-6923
- 12805 Hwy 55 Ste 125Plymouth, MN 55441-3861Phone: (651) 340-1445
Registry dates
- Enumerated
- 2014-07-16
- Last updated
- 2022-10-12
- Certified
- 2022-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.