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)
Southdale Pediatric Associates, Ltd is a Multi-Specialty Clinic/Center organization in Edina, MN (NPI 1245305895).
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
Frequently asked questions
- What is Southdale Pediatric Associates, Ltd's NPI number?
- Southdale Pediatric Associates, Ltd's National Provider Identifier (NPI) is 1245305895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southdale Pediatric Associates, Ltd?
- Southdale Pediatric Associates, Ltd is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southdale Pediatric Associates, Ltd located?
- Southdale Pediatric Associates, Ltd's practice location on file with NPPES is 6600 France Ave S Ste 300, Edina, MN 55435-1803.
- What is Southdale Pediatric Associates, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Southdale Pediatric Associates, Ltd is (952) 831-1944.
- Does Southdale Pediatric Associates, Ltd accept Medicare?
- Southdale Pediatric Associates, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southdale Pediatric Associates, Ltd?
- The authorized official listed on Southdale Pediatric Associates, Ltd's NPPES record is Saira Mitha, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southdale Pediatric Associates, Ltd's NPI active?
- Yes — Southdale Pediatric Associates, Ltd's NPI (1245305895) is active in the NPPES registry as of the last update on 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.