NPIMap

Individual provider Active NPI

Elizabeth Ann O'Leary, M.D., M.H.S.

  • Surgery Physician
  • Bloomington, MN
National Provider Identifier
1174782528
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
69403 Issued in MN
Practice address
7760 France Ave S Ste 1000
Bloomington, MN 55435-5870
Phone
(952) 746-6767
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0076284 MD
Surgery Physician 208600000X MD041676 DC
Surgery Physician 208600000X 69403 MN Primary

Addresses

Primary practice location

7760 France Ave S Ste 1000
Bloomington, MN 55435-5870

Mailing address

2550 University Ave W Ste 110N
Saint Paul, MN 55114-2001
Phone (651) 602-5309

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
I20210813002545 MN Practitioner - General Surgery 4688809403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5775 Wayzata Blvd
Suite 150
St Louis Park, MN 55416-2698
Phone (612) 482-2118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
72.38
Promoting interoperability
98
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041676DCMDSurgery Physician
D0076284MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology, PA Current Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Oct 1, 2021 Accepting new patients
Elizabeth O'Leary, P.L.L.C Surgery CurrentSince Dec 20, 2023 Accepting new patients
Minnesota Oncology Hematology, PA CurrentSince Oct 1, 2021 Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Minnesota Oncology Hematology, PA Past Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

7760 France Ave S
Ste 1000
Bloomington, MN 55435
Phone (952) 746-6767

3625 W 65th St
Ste 100
Minneapolis, MN 55435
Phone (952) 920-7001

570 Asbury St
Ste 208
Saint Paul, MN 55104
Phone (612) 424-2664

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

5775 Wayzata Blvd
Ste 150
St Louis Park, MN 55416
Phone (612) 482-2118

Interoperability endpoints

  • Direct secure messaging: elizabeth.oleary@moh.ikm.direct-ci.com
  • Direct secure messaging: elizabeth.o.leary.1@30527.direct.athenahealth.com
  • Direct secure messaging: eoleary132850@direct.hopkinsmedicine.org

Organizations & group practices 7

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1174782528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551142001",
            "telephone_number": "651-602-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S STE 1000",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355870",
            "telephone_number": "952-746-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.H.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0076284",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD041676",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "69403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.