Alabaster Healthcare LLC
Organization Active NPI Family Medicine Physician · Burnsville, MN
NPI 1407560113 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1407560113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALABASTER HEALTHCARE LLC
- Practice address
- 14348 Burnhaven Dr
Burnsville, MN 55306-4928 - Phone
- (612) 345-9900
- Fax
- (612) 345-9999
- NPI assigned
- Jan 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Eseoghene Abokede, MD
- Title
- Ceo
- Phone
- (612) 345-9900
Practitioners 7
-
Eseoghene Abokede, M.D
-
Joan M Beard, NP
-
Elvia G Moreta Freire, M.D.
-
Sumi Patel, M.D.
-
David J Ridley, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2319571 | Alabaster Healthcare | Certificate of waiver | Mar 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230516002145 | MN | Part B Supplier - Clinic/Group Practice | 9234595356 |
Receives reassigned benefits from 1 practitioner Practice locations: Burnsville, MN |
National Provider Directory
Locations
14348 Burnhaven Dr
Burnsville, MN 55306
Phone (612) 345-9900
2854 Highway 55
Ste 190
Saint Paul, MN 55121
Phone (612) 345-9900
1160 Vierling Dr E
#314
Shakopee, MN 55379
Phone (615) 438-2711
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFJHDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
14348 Burnhaven Dr
Burnsville, MN 55306-4928
Mailing address
14348 Burnhaven Dr
Burnsville, MN 55306-4928
Phone (612) 345-9900
Other providers in Burnsville, MN
- Dale N Akkerman
- Akn Enterprises LLC
- Elham Al Hazaili
- Amal Al Muswe
- Ali Mohamed Al-Basrawi
- Abid Rasool Alam
- Liban Mohamed Alamayo
- Deanna Lynn Alevizos
- Aniso Ali Rage
- Abdullahi Nur Ali
All providers in Burnsville, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. 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.
- 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.