OrganizationActive
Mendakota Pediatrics Ltd
NPI 1497739320 · Pediatrics Physician · West St Paul, MN
Provider details
- NPI number
- 1497739320
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Gobel, President(651) 552-7999
- License
- 31085 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1880 Livingston Avenue
Suite 102
West St Paul, MN 55118
Phone: (651) 552-7999
Fax: (651) 552-0777
Street-level locationGet directions
Mailing address
1880 Livingston Avenue
West St Paul, MN 55118
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.