Individual provider Active NPI

Joseph B Lillegard, MD

  • Pediatric Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1346453644
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD451384 Issued in PA
Practice address
2530 Chicago Ave
Suite 550
Minneapolis, MN 55404-4289
Phone
(612) 813-8606
Fax
(612) 813-8005
NPI assigned
May 7, 2007
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 50054 MN
Pediatric Surgery Physician 2086S0120X MD451384 PA Primary
Pediatric Surgery Physician 2086S0120X 103103 WI

Addresses

Primary practice location

2530 Chicago Ave
Suite 550
Minneapolis, MN 55404-4289

Mailing address

2530 Chicago Ave Ste 550
Minneapolis, MN 55404-4293
Phone (612) 813-8606

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers 3

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
016990000MedicaidMN
35217100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TN, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070822000436 MN Practitioner - Pediatric MedicinePractitioner - General Surgery 6204928351 Reassigns benefits to 2 organizations
I20241213000749 TN Practitioner - General Surgery 6204928351 Reassigns benefits to 1 organization
I20251006001150 WI Practitioner - General Surgery 6204928351 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5702

1000 N Oak Ave
Marshfield, WI 54449-5703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD451384PAMDPediatric Surgery Physician
103103WIMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jul 1, 2015 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 29, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Pediatric Surgical Associates LTD Pediatric Surgery CurrentSince Jul 1, 2015 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Gillette Children's Specialty Healthcare CurrentSince Jun 2, 2025 Accepting new patients
Medical Education Assistance Corporation Surgery CurrentSince Sep 26, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 29, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Sep 29, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 29, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 29, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 29, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Sep 29, 2025 Accepting new patients
Allina Health System CurrentSince Jul 1, 2015 Accepting new patients
Marshfield Clinic Inc Surgery CurrentSince Sep 29, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 29, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 29, 2025 Accepting new patients
Gillette Children's Specialty Healthcare CurrentSince Jun 2, 2025 Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Childrens Health Care Past Accepting new patients

Locations

2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 813-8006

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

4530 77th St W
Ste 205
Minneapolis, MN 55435
Phone (952) 835-3375

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

347 Smith Ave N
Ste 502
Saint Paul, MN 55102
Phone (651) 248-2113

5354 Edgewood Dr
Saint Paul, MN 55112

325 N State of Franklin Rd
Fl 3
Johnson City, TN 37604
Phone (423) 439-7201

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: joseph.lillegard@psal.eclinicaldirectplus.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1346453644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE STE 550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044293",
            "telephone_number": "612-813-8606",
            "fax_number": "612-813-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "SUITE 550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8606",
            "fax_number": "612-813-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLEGARD",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "50054",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD451384",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "WI",
            "license": "103103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016990000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35217100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.