Individual provider Active NPI

Long Le, DPM

  • Foot & Ankle Surgery Podiatrist
  • Edina, MN
National Provider Identifier
1548217458
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
759 Issued in MN
Practice address
7600 France Ave S Ste 1100
Edina, MN 55435-5924
Phone
(952) 929-3566
Fax
(952) 929-3358
NPI assigned
May 27, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 759 MN Primary

Addresses

Primary practice location

7600 France Ave S Ste 1100
Edina, MN 55435-5924

Mailing address

7600 France Ave S Ste 1100
Edina, MN 55435-5924
Phone (763) 545-7545

Other practice location 1

2599 White Bear Ave N
Maplewood, MN 55109-2288
Phone (651) 770-3891

Other identifiers 1

IdentifierTypeStateIssuer
273029400MedicaidMN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000012 MN Practitioner - Podiatry 3577581677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Bevan DPM PLLCGroup PAC ID 2961805833, 3 clinicians
North Clinic PAGroup PAC ID 2769384205, 50 clinicians

Practice addresses (Care Compare)

7600 France Ave S
Suite 1100
Edina, MN 55435-5936
Phone (952) 926-3566

9825 Hospital Dr
Suite 300
Maple Grove, MN 55369-4768
Phone (763) 587-7900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue216
Removal or shaving of skin growth105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
759MNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Clinic, PA Foot & Ankle Surgery CurrentSince Aug 25, 2025 Accepting new patients
North Clinic, PA CurrentSince Aug 25, 2025 Accepting new patients
Michael Bevan, DPM, PLLC Foot & Ankle Surgery CurrentSince Jul 31, 2021 Accepting new patients

Locations

12940 Harriet Ave S
Ste 210
Burnsville, MN 55337
Phone (952) 890-4060

12940 Harriet Ave S
Ste 230
Burnsville, MN 55337
Phone (952) 926-3566

9825 Hospital Dr
Ste 300
Maple Grove, MN 55369
Phone (763) 494-7500

3883 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 422-0233

7600 France Ave S
Ste 1100
Minneapolis, MN 55435
Phone (763) 545-7545

9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933

50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548217458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "952-929-3566",
            "fax_number": "952-929-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2599 White Bear Ave N",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551092288",
            "country_code": "US",
            "telephone_number": "651-770-3891",
            "fax_number": "612-788-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "LONG",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273029400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.