Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174670038 Individual Practitioner Female Practitioner

Dr. Lindy Thaker , MD

Pediatrics • Saint Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lindy Thaker, MD is a certified Pediatrics practicing in Saint Paul, MN. With approximately 21 years of clinical experience since graduating from Indiana University School Of Medicine in 2005, Dr. Thaker delivers high-quality medical care to the local community at 1983 SLOAN PL STE 1.

Dr. Thaker accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1983 Sloan Pl Ste 1

Saint Paul, MN 551172095

Telephone 6513265700
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Paul, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +0.7 yrs vs City Avg
City Avg: 20.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
66 Specialists

Practicing in Saint Paul, MN (1325 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thaker (21 Years) 21 Yrs
Saint Paul Specialty Average (20.3 Years) 20.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License DC MD456456

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA MD442767

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TN MD43493

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Healthcare

NUCC Taxonomy Code: 2080P1004X

State License MN 65308

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Minnesota Medical License
65308 (MN)
Commercial Insurance / Payer ID Dc Medical License
MD456456 (DC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Richard Banczak , CNP

Nurse Practitioner - Family

NPI 1104648021

Certified Nurse Practitioner

NPI 1114980232

Doctor of Medicine (M.D.)

NPI 1134651433

Doctor of Medicine (M.D.)

Dr. James Letts , MD

Family Medicine

NPI 1225091754

Doctor of Medicine (M.D.)

NPI 1255300786

Certified Nurse Midwife

Dr. Aubrey Bockorny , PharmD

Pharmacist - Ambulatory Care

NPI 1295626984

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 21, 2025

Registered at 1983 SLOAN PL STE 1, SAINT PAUL, MN 551172095 (Tel: 6513265700)

📍
Updated Business Mailing Address April 21, 2025

Registered at 1983 SLOAN PL STE 1, SAINT PAUL, MN 551172095

👤
Provider Name / Credentials Updated April 21, 2025

Recorded as LINDY THAKER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2025

Pediatrics (License #MD442767 in PA)

NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2016

Registered at 1630 EUCLID ST NW, WASHINGTON, DC 200095675 (Tel: 2024765580)

📍
Updated Business Mailing Address August 08, 2016

Registered at 1630 EUCLID ST NW, WASHINGTON, DC 200095675 (Tel: 2024765580)

👤
Provider Name / Credentials Updated August 08, 2016

Recorded as LINDY FENLASON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Pediatrics (License #MD456456 in DC)

🟢
Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174670038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2007
Last Update: April 21, 2025
Sole Proprietor: No

Mailing Address

1983 Sloan Pl Ste 1

Saint Paul, MN 551172095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.