Individual provider Active NPI

Todd Aaron Peabody, DPM

  • Podiatrist
  • Richfield, MN
National Provider Identifier
1750720876
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1002 Issued in MN
Practice address
6600 Lyndale Ave S Ste 130
Richfield, MN 55423
Phone
(612) 788-8778
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1002 MN Primary

Addresses

Primary practice location

6600 Lyndale Ave S Ste 130
Richfield, MN 55423

Mailing address

6600 Lyndale Ave S Ste 130
Richfield, MN 55423-3398
Phone (612) 788-8778

Other practice location 1

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (517) 712-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160708000754 MI Practitioner - Podiatry 9739471939 Reassigns benefits to 1 organization
I20180731000630 MN Practitioner - Podiatry 9739471939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In House Senior Services LLCGroup PAC ID 7113170267, 16 clinicians

Practice addresses (Care Compare)

6625 Lyndale Ave S
Suite 105
Richfield, MN 55423-2673
Phone (612) 788-8778

6625 Lyndale S Ave
Suite 105
Richfield, MN 55423
Phone (612) 788-8778

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2059
Removal or shaving of skin growth620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In House Senior Services, LLC Podiatrist CurrentSince Sep 1, 2018 Accepting new patients
Active Feet, Foot & Ankle Health Center CurrentSince Sep 1, 2018 Accepting new patients
Active Feet , Foot & Ankle Health Center Podiatrist CurrentSince Sep 1, 2018 Accepting new patients
Capital Foot & Ankle Centers, PC CurrentSince Aug 1, 2016 Accepting new patients

Locations

2843 E Grand River Ave
Ste 235
East Lansing, MI 48823
Phone (517) 863-8951

2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750

2133 University Park Dr
Ste 100
Okemos, MI 48864
Phone (517) 853-8951

2270 Jolly Oak Rd
Ste 1
Okemos, MI 48864
Phone (517) 349-6140

10995 Club West Pkwy
Ste 500
Blaine, MN 55449
Phone (763) 230-7880

6545 France Ave S
Ste 571
Edina, MN 55435
Phone (952) 926-7696

11500 Highway 7
Ste 201
Minnetonka, MN 55305
Phone (651) 336-8843

6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999

6600 Lyndale Ave S
Ste 130
Richfield, MN 55423
Phone (612) 243-8999

6625 Lyndale Ave S
Ste 105
Richfield, MN 55423
Phone (612) 200-8029

Organizations & group practices 4

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1750720876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S STE 130",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233398",
            "telephone_number": "612-788-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S STE 130",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "55423",
            "telephone_number": "612-788-8778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "517-712-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "TODD",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.