Individual provider Active NPI

David R Vandersteen, MD

  • Urology Physician
  • Minneapolis, MN
National Provider Identifier
1235190786
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
39449 Issued in MN
Practice address
2530 Chicago Ave
#550
Minneapolis, MN 55404-4289
Phone
(612) 813-8000
Fax
(612) 813-8005
NPI assigned
Mar 31, 2006
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 39449 MN Primary
Pediatric Urology Physician 2088P0231X W3199 TX
Pediatric Urology Physician 2088P0231X 036152612 IL

Addresses

Primary practice location

2530 Chicago Ave
#550
Minneapolis, MN 55404-4289

Mailing address

2530 Chicago Ave
#550
Minneapolis, MN 55404-4289
Phone (612) 813-8000

Other practice location 1

5400 Alameda Ave Bldg B
El Paso, TX 79905-2914
Phone (915) 242-8402

Other practice location 2

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Other identifiers 1

IdentifierTypeStateIssuer
294225900MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050920000535 MN Practitioner - UrologyPractitioner - Pediatric Medicine 8123922010 Reassigns benefits to 2 organizations
I20200707001038 IL Practitioner - Urology 8123922010 Reassigns benefits to 1 organization
I20250225002892 TN Practitioner - UrologyPractitioner - Pediatric Medicine 8123922010 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152612ILMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Lebonheur Pediatric Specialists, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Pediatric Surgical Associates LTD Pediatric Urology CurrentSince Jul 1, 1998 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 26, 2016 Accepting new patients
The Duluth Clinic, LTD CurrentSince Oct 26, 2016 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2020 Accepting new patients
NPI 1598824880 Past Accepting new patients
Childrens Health Care Past Accepting new patients

Locations

420 NE Glen Oak Ave
Ste 201
Peoria, IL 61603
Phone (309) 655-3800

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 813-8006

4530 77th St W
Ste 205
Minneapolis, MN 55435
Phone (952) 835-3375

6060 Clearwater Dr
Ste 110
Minnetonka, MN 55343
Phone (612) 813-8800

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

347 Smith Ave N
Ste 502
Saint Paul, MN 55102
Phone (651) 248-2113

5354 Edgewood Dr
Saint Paul, MN 55112

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594

Interoperability endpoints

  • Direct secure messaging: david.vandersteen@psal.eclinicaldirectplus.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1235190786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "#550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8000",
            "fax_number": "612-813-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "#550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8000",
            "fax_number": "612-813-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Alameda Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052914",
            "country_code": "US",
            "telephone_number": "915-242-8402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERSTEEN",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "39449",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "W3199",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "IL",
            "license": "036152612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294225900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.