Active NPI
David R Vandersteen, MD
- Urology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 39449
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294225900 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036152612 | IL | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Current | Accepting new patients | |
| Pediatric Surgical Associates LTD | Pediatric Urology | Current | Accepting new patients |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | 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
- 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.
-
- Pediatric Surgery Physician
- Minneapolis, MN
- NPI 1093778292
Pediatric Urology
-
dba Essentia Health Cloquet Clinic
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
dba Essentia Health Duluth Clinic
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
-
dba Essentia Health Hinckley Pharmacy
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
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
- Delaney Vander Heiden
- Elizabeth J Vander Laan, MS, RD, LD
- Eric Matthew Vander May
- Julie M Vandergon, PHARMD
- Gretchen Jane Vanderlinden-Wang, LICSW
- Kristen Kissam Vanderveen, R.N., A.P.R.N.
- Peggy Vanduyne, LPC, LPCC, LMHC
- Alicia Grace Vanek, OTR/L
- Petr Vanek, MD, PHD
- Vanessa Rempel PHD, Licensed Psychologist, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.