Organization Active NPI

North Star Metabolic and Performance Clinic LLC

  • Multi-Specialty Clinic/Center
  • Edina, MN
National Provider Identifier
1821910134
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NORTH STAR METABOLIC AND PERFORMANCE CLINIC LLC
Practice address
7300 France Ave S Ste 301
Edina, MN 55435-4505
Phone
(952) 800-3363
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Timothy Louis Roach, MD
Title
Physician/Founder
Phone
(661) 703-3935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7300 France Ave S Ste 301
Edina, MN 55435-4505

Mailing address

16960 Valley Rd
Eden Prairie, MN 55347-2833
Phone (661) 703-3935

National Provider Directory

National Provider Directory

Locations

7300 France Ave S
Ste 301
Edina, MN 55435

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1821910134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16960 VALLEY RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472833",
            "telephone_number": "661-703-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S STE 301",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354505",
            "telephone_number": "952-800-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR METABOLIC AND PERFORMANCE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICIAN/FOUNDER",
        "authorized_official_telephone_number": "661-703-3935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.