NPIMap

Individual provider Active NPI

David Perez-Lauterbach, MD

  • Emergency Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1124414644
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
63225 Issued in MN
Practice address
701 Park Ave
Hennepin County Medical Center Emergency Department
Minneapolis, MN 55415
Phone
(612) 873-4093
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63225 MN
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 63225 MN Primary

Addresses

Primary practice location

701 Park Ave
Hennepin County Medical Center Emergency Department
Minneapolis, MN 55415

Mailing address

701 Park Ave
Hennepin County Medical Center Emergency Department
Minneapolis, MN 55415

Other names 1

  • David Lauterbach Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dperezlauterbach535803@direct.centracare.com Direct

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
I20180719000335 MN Practitioner - Internal MedicinePractitioner - Emergency Medicine 8224385422 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

4300 Marketpointe Dr
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63225MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc CurrentSince Sep 2, 2020 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
Essentia Health Virginia, LLC CurrentSince Jul 22, 2025 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Emergency Physicians Professional Association CurrentSince Sep 14, 2020 Accepting new patients
Pine Medical Center CurrentSince Jul 22, 2025 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Jul 22, 2025 Accepting new patients
St. Mary'S Medical Center CurrentSince Jul 22, 2025 Accepting new patients
Emergency Physicians Professional Association CurrentSince Sep 14, 2020 Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Healthpartners RC CurrentSince Sep 1, 2021 Accepting new patients
Pine Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Centracare Clinic CurrentSince Dec 1, 2020 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Emergency Physicians Professional Association Emergency Medicine Current Accepting new patients
Essentia Health Moose Lake CurrentSince Jul 22, 2025 Accepting new patients
Centracare Clinic CurrentSince Dec 1, 2020 Accepting new patients
Healthpartners RC CurrentSince Sep 1, 2021 Accepting new patients
St Marys Medical Center CurrentSince Jul 22, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jun 10, 2018 Accepting new patients
Northern Pines Medical Center CurrentSince Jul 22, 2025 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jun 10, 2018 Accepting new patients
Centracare Clinic Current Accepting new patients
Essentia Health Moose Lake Current Accepting new patients
Hennepin Healthcare System Inc CurrentSince Sep 2, 2020 Accepting new patients
Northern Pines Medical Center CurrentSince Jul 22, 2025 Accepting new patients
Essentia Health Virginia, LLC CurrentSince Jul 22, 2025 Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

Interoperability endpoints

  • Direct secure messaging: dperezlauterbach535803@direct.centracare.com

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1124414644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "HENNEPIN COUNTY MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "HENNEPIN COUNTY MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-873-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-LAUTERBACH",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "63225",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "63225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dperezlauterbach535803@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dperezlauterbach535803@direct.centracare.com",
            "address_1": "301 Becker Ave SW",
            "city": "Willmar",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562013302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "LAUTERBACH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.