Individual provider Active NPI

Sheryl Ann Louie, M.D.

  • Obstetrics & Gynecology Physician
  • Edina, MN
National Provider Identifier
1336145937
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42216 Issued in MN
Practice address
3400 W 66TH St Ste 385
Edina, MN 55435-2197
Phone
(952) 927-6561
Fax
(952) 927-6569
NPI assigned
Jun 28, 2005
Last updated
Sep 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 42216 MN Primary

Addresses

Primary practice location

3400 W 66TH St Ste 385
Edina, MN 55435-2197

Mailing address

801 Nicollet Mall Ste 400
Minneapolis, MN 55402-2520
Phone (612) 333-2503

Other practice location 1

2805 Campus Dr Ste 315
Plymouth, MN 55441-2679
Phone (763) 577-7460

Other identifiers 1

IdentifierTypeStateIssuer
110113700MedicaidMN

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
I20050315000926 MN Practitioner - Obstetrics/Gynecology 1153376835 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42216MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Obstetrics and Gynecology Associates, P.a. Obstetrics & Gynecology CurrentSince Jan 1, 2019 Accepting new patients

Locations

305 E Nicollet Blvd
Ste 170
Burnsville, MN 55337
Phone (952) 435-4190

3400 W 66th St
Ste 385
Minneapolis, MN 55435
Phone (952) 920-2761

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

801 Nicollet Mall
Ste 400
Minneapolis, MN 55402
Phone (612) 333-2503

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

2805 Campus Dr
Ste 315
Plymouth, MN 55441
Phone (763) 577-7460

Organizations & group practices 3

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1336145937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NICOLLET MALL STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022520",
            "telephone_number": "612-333-2503",
            "fax_number": "612-333-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST STE 385",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352197",
            "telephone_number": "952-927-6561",
            "fax_number": "952-927-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Campus Dr Ste 315",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554412679",
            "country_code": "US",
            "telephone_number": "763-577-7460",
            "fax_number": "763-577-7461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "42216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110113700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.