OrganizationActive
Advacare Medical Clinic Ltd
NPI 1578116786 · Family Medicine Physician · Edina, MN
Provider details
- NPI number
- 1578116786
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Ogato, Practice Manager(651) 354-6602
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Genetics Clinic/Center261QG0250X
Ambulatory Health Care Facilities
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
5325 W 74th St Ste 9
Edina, MN 55439-2212
Phone: (651) 354-6602
Street-level locationGet directions
Mailing address
1359 Knoll Dr
Shakopee, MN 55379-4624
Registry dates
- Enumerated
- 2019-07-17
- Last updated
- 2019-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.