NPIMap

Individual provider Active NPI

Edgar F. Saldana, MD

  • Plastic Surgery Physician
  • Duluth, MN
National Provider Identifier
1043260557
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
43234 Issued in MN
Practice address
324 W Superior St Ste 100
Duluth, MN 55802-1763
Phone
(218) 215-8990
Fax
(218) 217-4371
NPI assigned
May 12, 2006
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 43234 MN Primary

Addresses

Primary practice location

324 W Superior St Ste 100
Duluth, MN 55802-1763

Mailing address

324 W Superior St Ste 100
Duluth, MN 55802-1763
Phone (218) 215-8990

Other practice location 1

1012 E 2nd St
Duluth, MN 55805-2200
Phone (218) 249-7910

Other identifiers 1

IdentifierTypeStateIssuer
407624900MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000270 MN Practitioner - Plastic and Reconstructive Surgery 9638212905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical School at San Antonio, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

324 W Superior St
Suite 100
Duluth, MN 55802-1763
Phone (218) 215-8990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Center of Duluth PLLC Plastic Surgery CurrentSince Aug 3, 2020 Accepting new patients

Locations

324 W Superior St
Ste 100
Duluth, MN 55802
Phone (218) 215-8990

7801 E Bush Lake Rd
Ste 320
Minneapolis, MN 55439
Phone (952) 831-5773

7831 E Bush Lake Rd
Ste 302
Minneapolis, MN 55439

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1043260557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 100",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021763",
            "telephone_number": "218-215-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 100",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021763",
            "telephone_number": "218-215-8990",
            "fax_number": "218-217-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052200",
            "country_code": "US",
            "telephone_number": "218-249-7910",
            "fax_number": "218-249-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALDANA",
        "first_name": "EDGAR",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "43234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407624900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.