Active NPI
Caliann Tsuitsin Lum, MD
- Surgery Physician
- Minneapolis, MN
National Provider Identifier
1699173716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22198
- Practice address
- 110 Bank St SE Apt 904
Minneapolis, MN 55414-3903 - Phone
- (612) 378-0514
- NPI assigned
- Dec 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22198 | MN | Primary |
Addresses
Primary practice location
110 Bank St SE Apt 904
Minneapolis, MN 55414-3903
Mailing address
110 Bank St SE Apt 904
Minneapolis, MN 55414-3903
Phone (612) 378-0514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22198 | MN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417824000000",
"number": "1699173716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BANK ST SE APT 904",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143903",
"telephone_number": "612-378-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BANK ST SE APT 904",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143903",
"telephone_number": "612-378-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "CALIANN",
"middle_name": "TSUITSIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-06",
"last_updated": "2014-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "22198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.