Individual provider Active NPI

Philip L Prosapio, M.D.

  • Orthopaedic Surgery Physician
  • Little Falls, MN
National Provider Identifier
1487602926
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
31140 Issued in MN
Practice address
1108 1St St SE
Little Falls, MN 56345-3440
Phone
(320) 631-2200
Fax
(320) 632-3728
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 31140 MN Primary

Addresses

Primary practice location

1108 1St St SE
Little Falls, MN 56345-3440

Mailing address

1108 1St St SE
Little Falls, MN 56345-3440
Phone (320) 631-2200

Other identifiers 1

IdentifierTypeStateIssuer
770763100MNMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000071 MN Practitioner - Orthopedic Surgery 2365335510 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31140MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare CurrentSince Sep 16, 2007 Accepting new patients
Fairview Express Care Current Accepting new patients
Unity Family Healthcare Orthopaedic Surgery Current Accepting new patients
Fairview Express Care CurrentSince Sep 13, 2020 Accepting new patients
Fairview Express Care CurrentSince Sep 14, 2020 Accepting new patients
Unity Family Healthcare CurrentSince Sep 16, 2007 Accepting new patients
Fairview Express Care CurrentSince Sep 13, 2020 Accepting new patients
Fairview Health Services CurrentSince Sep 14, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Interoperability endpoints

  • Direct secure messaging: pprosapio1514@direct.centracare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1487602926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453440",
            "telephone_number": "320-631-2200",
            "fax_number": "320-632-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453440",
            "telephone_number": "320-631-2200",
            "fax_number": "320-632-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSAPIO",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "31140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770763100MN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.