Julian Andres Larrea Saavedra, PA-C
Individual provider Active NPI Physician Assistant · Saint Paul, MN
NPI 1326517541 · NPPES record last updated Nov 23, 2022
Key facts
- NPI
- 1326517541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 12858 (MN)
- Practice address
- 640 Jackson St
Mailstop 11109E
Saint Paul, MN 55101-1805 - Phone
- (952) 853-8800
- NPI assigned
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
233 Radio Dr
Woodbury, MN 55125-5805
Phone (952) 967-7616
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Hospital & facility affiliations
- Regions Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190212001138 | MN | Practitioner - Physician Assistant | 9436497716 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients | |
| Regions Hospital | Past | Accepting new patients |
Locations
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100
640 Jackson St
#11109E
Saint Paul, MN 55101
Phone (651) 254-3456
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12858 | MN | Yes |
Addresses
Primary practice location
640 Jackson St
Mailstop 11109E
Saint Paul, MN 55101-1805
Mailing address
640 Jackson St
Mailstop 11109E
Saint Paul, MN 55101-2502
Other providers in Saint Paul, MN
- Daniel E Larkin
- Larkins Neurosurgery PA
- Jennifer Larklan
- Roger R Laroche
- Lorraine Laroy
- Larry Miller Chiropractic, Inc.
- Eryn Beth Larsen Smith
- Amy Larsen
- Elizabeth L Larsen
- Michaela Anne Larsen
All providers in Saint Paul, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.