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

Patrick Pederson

Individual provider Internal Medicine Physician · NPI 1336321348

Patrick Pederson is an Internal Medicine in Saint Paul, Minnesota. Graduated from University of Minnesota Medical School in 2004, 22 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007
Specialties on file
2

Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-9545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 51425 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 51425 (MN)

Record details

NPI number1336321348
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2007
Last updated in NPPESFebruary 13, 2013
Mailing address640 Jackson St, Saint Paul, MN 55101-2502

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Paul