Individual provider Active NPI

Steven D Lockman, MD

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Edina, MN
National Provider Identifier
1689614794
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X
License
52487 Issued in MN
Practice address
7400 Metro Blvd
Edina, MN 55439-2316
Phone
(952) 999-1908
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 52487 MN
Physical Medicine & Rehabilitation Physician 208100000X 25248 AZ
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 52487 MN Primary

Addresses

Primary practice location

7400 Metro Blvd
Edina, MN 55439-2316

Mailing address

7400 Metro Blvd
Edina, MN 55439-2316
Phone (612) 999-1908

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
I20091027000193 MN Practitioner - Physical Medicine and Rehabilitation 3274433487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of California, San Diego School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7400 Metro Blvd
Suite 400
Edina, MN 55439-2326
Phone (612) 999-1908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25248AZMDPhysical Medicine & Rehabilitation Physician
52487MNMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Neurorehabilitation Institute, PLLC Physical Medicine & Rehabilitation CurrentSince Dec 23, 2019 Accepting new patients

Locations

7400 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone (612) 999-1908

12805 Highway 55
Ste 304
Plymouth, MN 55441

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1689614794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "612-999-1908",
            "fax_number": "612-445-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "952-999-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKMAN",
        "first_name": "STEVEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "52487",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "25248",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "MN",
            "license": "52487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.