Individual provider Active NPI

Adam David Langenfeld, M.D., PH.D.

  • Pediatrics Physician
  • Minneapolis, MN
National Provider Identifier
1265894463
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
65082 Issued in MN
Practice address
2530 Chicago Ave Ste G055
Minneapolis, MN 55404-4289
Phone
(612) 813-6300
Fax
(612) 813-6953
NPI assigned
Mar 26, 2016
Last updated
May 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 65082 MN Primary

Addresses

Primary practice location

2530 Chicago Ave Ste G055
Minneapolis, MN 55404-4289

Mailing address

2530 Chicago Ave Ste G055
Minneapolis, MN 55404-4289
Phone (612) 813-6300

Other practice location 1

717 Delaware St SE Fl 3
Minneapolis, MN 55414
Phone (612) 626-3761

Other practice location 2

717 Delaware St SE Fl 3
Minneapolis, MN 55414
Phone (612) 626-3761

Other practice location 3

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (612) 813-6000

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
I20190904001484 MN Practitioner - Pediatric Medicine 5597028001 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Clinic Network CurrentSince Aug 29, 2019 Accepting new patients
Children's Clinic Network CurrentSince Aug 29, 2019 Accepting new patients
Childrens Health Care CurrentSince Aug 29, 2019 Accepting new patients
Childrens Health Care CurrentSince Aug 29, 2019 Accepting new patients
Childrens Health Care Pediatrics Current Accepting new patients
Medical College of Wisconsin Affiliated Hospitals Student in an Organized Health Care Education/Training Program Past Accepting new patients
Childrens Health Care Past Accepting new patients

Locations

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

2530 Chicago Ave
Ste G55
Minneapolis, MN 55404
Phone (612) 813-6300

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050

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, 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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1265894463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE G055",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-6300",
            "fax_number": "612-813-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE G055",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-6300",
            "fax_number": "612-813-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Delaware St SE Fl 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55414",
            "country_code": "US",
            "telephone_number": "612-626-3761",
            "fax_number": "612-626-2134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Delaware St SE Fl 3",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55414",
            "country_code": "US",
            "telephone_number": "612-626-3761",
            "fax_number": "612-626-2134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554044518",
            "country_code": "US",
            "telephone_number": "612-813-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGENFELD",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "65082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.