NPIMap

Individual provider Active NPI

Leela Krummel, D. O.

  • Family Medicine Physician
  • Eagan, MN
National Provider Identifier
1124439658
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59466 Issued in MN
Practice address
1110 Yankee Doodle Rd
Eagan, MN 55121-2092
Phone
(651) 454-3970
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 59466 MN Primary

Addresses

Primary practice location

1110 Yankee Doodle Rd
Eagan, MN 55121-2092

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkrummel66553@excellian.direct.allina.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
I20150807013414 MN Practitioner - Family Practice 9739493529 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Single Specialty CurrentSince Aug 23, 2016 Accepting new patients
Allina Health System Single Specialty Current Accepting new patients
Fairview Clinics CurrentSince Aug 23, 2016 Accepting new patients
Fairview Health Services CurrentSince Aug 23, 2016 Accepting new patients
Allina Health System Single Specialty CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System Single Specialty CurrentSince Sep 25, 2017 Accepting new patients
Fairview Express Care CurrentSince Aug 23, 2016 Accepting new patients
Fairview Clinics Single Specialty Current Accepting new patients
Fairview Express Care Single Specialty Current Accepting new patients
Fairview Health Services Single Specialty Current Accepting new patients
Allina Health System CurrentSince Sep 25, 2017 Accepting new patients
Fairview Clinics CurrentSince Aug 23, 2016 Accepting new patients
Fairview Clinics CurrentSince Aug 23, 2016 Accepting new patients
Allina Health System Family Medicine Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

580 Rice St
Saint Paul, MN 55103
Phone (651) 227-6551

1110 Yankee Doodle Rd
Saint Paul, MN 55121
Phone (651) 454-3970

Organizations & group practices 15

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 15

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1124439658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 YANKEE DOODLE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212092",
            "telephone_number": "651-454-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMMEL",
        "first_name": "LEELA",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "59466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkrummel66553@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1110 Yankee Doodle Rd",
            "city": "Eagan",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551212092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.