Individual provider Active NPI

Lawrence Neil Mulmed, MD FACE

  • Endocrinology, Diabetes & Metabolism Physician
  • Minneapolis, MN
National Provider Identifier
1245226562
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20522 Issued in MN
Practice address
710 E 24TH St
Ste 405
Minneapolis, MN 55404-3840
Phone
(612) 336-5000
Fax
(612) 775-9800
NPI assigned
Sep 22, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20522 MN Primary

Addresses

Primary practice location

710 E 24TH St
Ste 405
Minneapolis, MN 55404-3840

Mailing address

710 E 24TH St
Ste 405
Minneapolis, MN 55404-3840
Phone (612) 336-5000

Other identifiers 1

IdentifierTypeStateIssuer
2128583MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001569 MN Practitioner - EndocrinologyPractitioner - Internal Medicine 8426198912 Practice locations: Wayzata, MN

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine & Diabetes Associates, P.a. Endocrinology, Diabetes & Metabolism PastSince Oct 28, 1988 Accepting new patients

Organizations & group practices 1

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245226562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST",
            "address_2": "STE 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043840",
            "telephone_number": "612-336-5000",
            "fax_number": "612-775-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST",
            "address_2": "STE 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043840",
            "telephone_number": "612-336-5000",
            "fax_number": "612-775-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULMED",
        "first_name": "LAWRENCE",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD FACE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MN",
            "license": "20522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128583",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.