Active NPI
Long Le, DPM
- Foot & Ankle Surgery Podiatrist
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 759
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273029400 | Medicaid | MN |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 216 |
| Removal or shaving of skin growth | 105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 759 | MN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clinic, PA | Foot & Ankle Surgery | Current | Accepting new patients |
| North Clinic, PA | Current | Accepting new patients | |
| Michael Bevan, DPM, PLLC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Edina, MN
- NPI 1841885597
-
dba Voyage Healthcare
- Family Medicine Physician
- Brooklyn Park, MN
- NPI 1114962206
Foot & Ankle Surgery
-
dba Voyage Healthcare
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.