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Deactivated NPI 1932118569 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald D Mcellistrem , MD PA

Urology • St Paul, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Mcellistrem has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2006
NPI Deactivation Date February 18, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Mcellistrem, MD PA was a registered Urology practicing in St Paul, MN. Throughout an active medical career spanning 16 years, Dr. Mcellistrem provided care at the practice location at 17 W EXCHANGE until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

17 W Exchange
Ste #705

St Paul, MN 55102

Telephone 6512277051
Fax 6512272649
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in St Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
3 Specialists

Practicing in St Paul, MN (299 Statewide)

Telehealth Adoption Rate
66.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MN 13266

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 17 W EXCHANGE, STE #705, ST PAUL, MN 55102 (Tel: 6512277051)

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Updated Business Mailing Address July 08, 2007

Registered at 17 W EXCHANGE ST, STE #705, ST PAUL, MN 55102 (Tel: 6512277051)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD MCELLISTREM, MD PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #13266 in MN)

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Initial NPI Registration & Enumeration August 05, 2006

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: 1932118569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 08, 2007
Deactivation Date: February 18, 2022

Mailing Address

17 W Exchange St, Ste #705

St Paul, MN 55102

Phone: 6512277051

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.