Active NPI
Joseph B Lillegard, MD
- Pediatric Surgery Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- MD451384
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| 016990000 | Medicaid | MN | |
| 35217100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, TN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD451384 | PA | MD | Pediatric Surgery Physician |
| 103103 | WI | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Pediatric Surgical Associates LTD | Pediatric Surgery | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Gillette Children's Specialty Healthcare | Current | Accepting new patients | |
| Medical Education Assistance Corporation | Surgery | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Marshfield Clinic Inc | Surgery | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Gillette Children's Specialty Healthcare | Current | 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
- 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.
-
dba Gillette Children's Professional Services
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1225119175
-
- Pediatric Surgery Physician
- Minneapolis, MN
- NPI 1093778292
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
Surgery
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba ETSU Physicians and Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Surgery
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.