Individual provider Active NPI

Nicholas Lebedoff, M.D.

  • Rheumatology Physician
  • Edina, MN
National Provider Identifier
1619363546
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
67851 Issued in MN
Practice address
7600 France Ave S Ste 5100
Edina, MN 55435-6026
Phone
(952) 832-0246
Fax
(952) 893-1954
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 67851 MN Primary

Addresses

Primary practice location

7600 France Ave S Ste 5100
Edina, MN 55435-6026

Mailing address

7600 France Ave S Ste 5100
Edina, MN 55435-6026
Phone (952) 832-0246

Other practice location 1

30 N 1900 E Rm 4C104
Salt Lake City, UT 84132-0002
Phone (801) 581-7606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.lebedoffmd.p1@direct.arc.nextgenshare.com

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
I20200813001962 MN Practitioner - Internal MedicinePractitioner - Rheumatology 5496035917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of Minnesota Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis and Rheumatology Consultants PAGroup PAC ID 3476452194, 12 clinicians

Practice addresses (Care Compare)

7600 France Ave S
Suite 5100
Edina, MN 55435-6026
Phone (952) 893-1959

Merit-based Incentive Payment System (MIPS)

Final score
97.95 of 100Reported as group
Quality
96.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Organizations & group practices 1

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1619363546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 5100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356026",
            "telephone_number": "952-832-0246",
            "fax_number": "952-893-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 5100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356026",
            "telephone_number": "952-832-0246",
            "fax_number": "952-893-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N 1900 E Rm 4C104",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841320002",
            "country_code": "US",
            "telephone_number": "801-581-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBEDOFF",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "67851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.lebedoffmd.p1@direct.arc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "7600 France Ave S Ste 5100",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554356026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.