Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alan Kiyoshi Okada, MDPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881188043

Dr. Alan Kiyoshi Okada, MDPHD is an Emergency Medicine in Saint Paul, Minnesota. Graduated from University of Southern California Keck School of Medicine in 2018, 8 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Trained at
University of Southern California Keck School of Medicine
Licensed in
MN
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-5091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 69133 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881188043
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESMarch 24, 2022
Certification dateMarch 4, 2022
Mailing address9324 73rd St S, Cottage Grove, MN 55016-2266

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Paul