Luke Gates Aldrich, PA-C
Individual provider Active NPI Physician Assistant · Edina, MN
NPI 1457073355 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1457073355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 14403 (MN)
- Practice address
- 4010 W 65TH St
Edina, MN 55435-1706 - Phone
- (952) 456-7000
- Fax
- (952) 456-7001
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Infinite Health Collaborative, PA
Practice addresses (Care Compare)
16800 37TH PL N
Plymouth, MN 55446-2805
Phone (763) 520-7870
4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 456-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230315001782 | MN | Practitioner - Physician Assistant | 7416321385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14403 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current |
Accepting new patients | |
| Infinite Health Collaborative, PA | Current |
Accepting new patients | |
| St. Croix Orthopaedics, PA | Past | Accepting new patients |
Locations
2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600
4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
16800 37th Pl N
#200
Plymouth, MN 55446
Phone (635) 207-8707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 14403 | MN | Yes |
Addresses
Primary practice location
4010 W 65TH St
Edina, MN 55435-1706
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600
Other providers in Edina, MN
- Gregory Scott Alch
- Zoey Mae Alch
- Alcohol and Drug Assessment Services LLC
- Dylan Alderman
- Janiece Marie Aldinger
- Kelsey Jane Alexander
- Tina Alexander
- Mary Margaret Alfidi
- James Henry Algeo Jr.
- Mohamad H. Alhomsi
All providers in Edina, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2023. 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.
- Order and Referring (CMS).
- 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.