Southdale Pediatric Associates, Ltd
NPI 1245305895 · Multi-Specialty Clinic/Center · Edina, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1245305895
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Saira Mitha, President(952) 831-1944
- License
- 196 (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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 501 E Nicollet Blvd Ste 200Burnsville, MN 55337-6785Phone: (952) 278-7000Fax: (952) 898-5914
- 11095 Viking Dr Ste 250Eden Prairie, MN 55344-7229Phone: (952) 278-7000Fax: (952) 949-0899
- 6600 France Ave S Ste 310Edina, MN 55435-1803Phone: (952) 278-7010
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.