Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Rosculet, MD

Individual provider Pediatrics Physician · NPI 1104216480

Nicholas Rosculet, MD is a Pediatric Medicine in Minneapolis, Minnesota. Graduated from Johns Hopkins University School of Medicine in 2018, 8 years ago. Practices with Children's Respiratory and Critical Care Specialists PA, a 25-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Trained at
Johns Hopkins University School of Medicine
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2530 Chicago Ave Ste 400
Minneapolis, MN 55404-4387
Phone: (612) 813-3300
Fax: (612) 813-3349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 76842 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 76842 (MN)

Record details

NPI number1104216480
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Children'S Respiratory And Critical Care Specialists Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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