Mona M Riskalla

MD | Pediatric Rheumatology | Female

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Complete Profile:

Mona M Riskalla basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Mona M Riskalla
Other Name :	Mona M Riskalla
Credential :	MD
Gender :	Female

Business Address:

Mona M Riskalla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2450 Riverside Ave Minneapolis, MN, 55454-1450 United States
Phone Number :	612-626-4598
Fax Number :	612-626-6905

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1710068978
NPI Entity Type :	Individual
First Enrolment Date :	17 Oct, 2006
Last Updated On :	07 Sep, 2016

Medicare Participation:

Mona M Riskalla participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9436444171
Medicare Enrollment ID :	I20160819002142
Primary Specialty :	Pediatric Medicine
Medical School :	Michigan State University College Of Human Medicine
Graduation Year :	1995
Accepts Medicare?	Yes. Mona M Riskalla accepts medicare insurance.

Group Practice Association:

Mona M Riskalla is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mona M Riskalla is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Fairview Express Care	3375645179	1469	717 Delaware St Se Suite 340 Minneapolis, MN - 554142959 Ph: 6126727422	Yes
Fairview Express Care	3375645179	1469	2450 Riverside Ave Minneapolis, MN - 554541450	Yes
Fairview Express Care	3375645179	1469	2450 Riverside Ave Suite F140 Minneapolis, MN - 554541450 Ph: 6126726999	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mona M Riskalla are as mentioned. Primary taxonomy code for Mona M Riskalla, MD is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
207RR0500X	Internal Medicine Rheumatology	No	48674	MN
208000000X	Pediatrics	No	48674	MN
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	48674	MN

Legacy Identifiers:

Other legacy medical identifiers of Mona M Riskalla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
573606400	MEDICAID	MN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2450 Riverside Ave Minneapolis, MN, 55454-1450 United States
Phone Number :	612-626-4598
Fax Number :	612-626-6905

Business Location:

Patients can refer following map for directions to Mona M Riskalla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.