NICHOLAS ROSCULET MD
NPI 1104216480
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

NPI Status: Active since January 26, 2015

Contact Information

2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 813-3300
Fax: (612) 813-3349

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • PECOS Enrolled

About NICHOLAS ROSCULET

This page provides the complete NPI Profile along with additional information for Nicholas Rosculet, a pediatrician established in Minneapolis, Minnesota with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1104216480 assigned on January 2015. The practitioner's primary taxonomy code is 2080P0203X with license number 76842 (MN). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1104216480
Provider Name
NICHOLAS ROSCULET MD
Gender
Male
Entity Type
Individual
Location Address
2530 CHICAGO AVE STE 400 MINNEAPOLIS, MN 55404
Location Phone
(612) 813-3300
Location Fax
(612) 813-3349
Mailing Address
2530 CHICAGO AVE STE 400 MINNEAPOLIS, MN 55404
Mailing Phone
(612) 813-3300
Mailing Fax
(612) 813-3349
Is Sole Proprietor?
No
Enumeration Date
01-26-2015
Last Update Date
06-28-2024
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A pediatrician like Nicholas Rosculet is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
76842
License State
MN
Taxonomy Description
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

76842 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Nicholas Rosculet is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for NICHOLAS ROSCULET MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104216480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21044112416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 1 + 1 + 2 + 4 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104216480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639170418 KENNETH K MASLONKA M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1457352064 ANDREW L OZOLINS M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1053581876 ALBERTO ORIOLES MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1730348319DR. ERIK CHRISTOPHER BROCKMAN M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1225340565DR. KATHERINE ELIZABETH KRUSE M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1407148356 ALICIA M TEAGARDEN D.O.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1659820264 STACY RELLER CPNP-AC
Individual
Nurse Practitioner (Pediatrics, Critical Care)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1326306309 NANDINI KATARIA MD
Individual
Pediatrics (Pediatric Pulmonology)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1184062663 NITAL PATEL M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1609197102DR. ZAHRAA AL-LAWATI M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1700887312 MICHAEL R SHREVE M.D.
Individual
Pediatrics (Pediatric Pulmonology)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1144580424DR. ASHLEY ELIZABETH WILSON MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1932128147 ANDREW W KIRAGU MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1215230354MS. KENDALL BIALLAS BAUMGARTNER CPNP-AC
Individual
Nurse Practitioner (Pediatrics, Critical Care)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1659799351 BRIAN JEFFREY CARROLL MD
Individual
Pediatrics (Pediatric Pulmonology)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1619134178DR. MEGAN PIERCE LAMBERT MD
Individual
Pediatrics (Pediatric Pulmonology)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1710418371 ZACHARY JOSEPH JOHNSON DO
Individual
Pediatrics (Pediatric Pulmonology)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1972918175DR. STEPHANIE S CABLER MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1902337447 MATTHEW CORY SPENCE M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300
1447525514 ERIN FLYNN DO
Individual
Pediatrics (Pediatric Critical Care Medicine)2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
(612) 813-3300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104216480, enumerated in the NPI registry as an "individual" on January 26, 2015

The provider is located at 2530 Chicago Ave Ste 400 Minneapolis, Mn 55404 and the phone number is (612) 813-3300

The provider's speciality is Pediatrics with taxonomy code 2080P0203X with a focus in Pediatric Critical Care Medicine

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on January 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.