NPIMap

Organization Active NPI

Summit Orthopedics LTD

  • Orthopaedic Surgery Physician
  • Eden Prairie, MN
National Provider Identifier
1417639626
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SUMMIT ORTHOPEDICS LTD
Practice address
11995 Singletree LN Ste 325
Eden Prairie, MN 55344-5347
Phone
(651) 968-5201
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
John Bien
Title
Cfo
Phone
(651) 968-5870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

11995 Singletree LN Ste 325
Eden Prairie, MN 55344-5347

Mailing address

710 Commerce Dr Ste 100
Woodbury, MN 55125-4920
Phone (651) 968-5639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124002540 MN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8921900374 Practice locations: Eden Prairie, MN

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2288092Summit Orthopedics LTD11995 Singletree Lane Suite 325, Eden Prairie, MN 55344Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Summit Orthopedics32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations (25 of 32)

15860 Audubon Way
Brainerd, MN 56401
Phone (218) 454-0088

600 Coon Rapids Blvd NW
#150
Coon Rapids, MN 55433
Phone (651) 968-5300

2640 Eagan Woods Dr
#120
Eagan, MN 55121
Phone (651) 968-5600

2640 Eagan Woods Dr
Ste 120
Eagan, MN 55121
Phone (651) 968-5215

11995 Singletree Ln
Ste 325
Eden Prairie, MN 55344

1645 Lyndale Ave N
Ste 103
Faribault, MN 55021
Phone (507) 334-1601

1285 Nininger Rd
Ste 107
Hastings, MN 55033
Phone (651) 968-5412

8650 Hudson Blvd N
Ste 300
Lake Elmo, MN 55042
Phone (651) 224-7854

1600 Saint Johns Blvd
Ste 101
Maplewood, MN 55109
Phone (651) 232-5354

15450 Highway 7
Ste 125
Minnetonka, MN 55345
Phone (763) 581-8950

15450 Highway 7
Ste 275
Minnetonka, MN 55345
Phone (651) 968-5979

15700 37th Ave N
Ste 150
Plymouth, MN 55446
Phone (651) 968-1627

15700 37th Ave N
Ste 200
Plymouth, MN 55446
Phone (952) 814-6610

15700 37th Ave N
Ste 220
Plymouth, MN 55446
Phone (651) 968-5600

6050 Sycamore Ln N
Ste 200
Plymouth, MN 55442
Phone (952) 814-6610

1900 Centracare Cir
#1325
Saint Cloud, MN 56303
Phone (952) 814-6600

17 Exchange St W
Ste 307
Saint Paul, MN 55102
Phone (651) 842-5200

17 Exchange St W
Ste 310
Saint Paul, MN 55102
Phone (651) 842-5468

280 Smith Ave N
Ste 500
Saint Paul, MN 55102
Phone (651) 968-5420

310 Smith Ave N
Ste 360
Saint Paul, MN 55102
Phone (651) 968-5090

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

4360 12th Ave E
Shakopee, MN 55379
Phone (651) 968-5300

3555 Willow Lake Blvd
Ste 260
Vadnais Heights, MN 55110
Phone (651) 968-5180

3580 Arcade St
#200
Vadnais Heights, MN 55127
Phone (651) 968-5790

1860 Wooddale Dr
Ste 100
Woodbury, MN 55125
Phone (651) 739-2300

Practitioners & affiliated clinicians

Practitioners 292

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 292

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1417639626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254920",
            "telephone_number": "651-968-5639",
            "fax_number": "651-730-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 325",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "651-968-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ORTHOPEDICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "BIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-968-5870"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.