Individual provider Active NPI

Glenn Robert Meints, DPM

  • Foot Surgery Podiatrist
  • Duluth, MN
National Provider Identifier
1265514731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
532 Issued in MN
Practice address
324 W Superior St
Ste 517
Duluth, MN 55802-1760
Phone
(218) 722-0326
Fax
(218) 722-4403
NPI assigned
Oct 20, 2006
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
Foot Surgery Podiatrist 213ES0131X 532 MN Primary

Addresses

Primary practice location

324 W Superior St
Ste 517
Duluth, MN 55802-1760

Mailing address

2107 E 4TH St
Duluth, MN 55812-1427
Phone (218) 724-9581

Other identifiers 4

IdentifierTypeStateIssuer
2700690OtherMNMEDICA
480034106OtherMNRAILROAD MEDICARE
77342MEOtherMNBLUE CROSS BLUE SHIELD
767218700MedicaidMN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000272 MN Practitioner - Podiatry 2062512304 Reassigns benefits to 2 organizations
Practice locations: Duluth, MN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In House Senior Services LLCGroup PAC ID 7113170267, 16 clinicians

Practice addresses (Care Compare)

6625 Lyndale Ave S
Suite 105
Richfield, MN 55423-2673
Phone (612) 788-8778

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1177
Removal or shaving of skin growth144
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
532MNMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
In House Senior Services, LLC CurrentSince Jan 1, 2022 Accepting new patients
Active Feet, Foot & Ankle Health Center CurrentSince Jan 1, 2022 Accepting new patients
Active Feet , Foot & Ankle Health Center Foot Surgery CurrentSince Jan 1, 2022 Accepting new patients
Conrad L Meints & Associate Foot Surgery Past Accepting new patients

Locations

324 W Superior St
Ste 517
Duluth, MN 55802
Phone (218) 722-0326

6625 Lyndale Ave S
Ste 105
Richfield, MN 55423
Phone (612) 200-8029

6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999

Organizations & group practices 4

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265514731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 E 4TH ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121427",
            "telephone_number": "218-724-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST",
            "address_2": "STE 517",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021760",
            "telephone_number": "218-722-0326",
            "fax_number": "218-722-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINTS",
        "first_name": "GLENN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2700690",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480034106",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77342ME",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767218700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.