Active NPI
Steven G Muehlstedt, MD
- Pediatric Surgery Physician
- Minneapolis, MN
National Provider Identifier
1942261565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 42983
- Practice address
- 2545 Chicago Ave S
#104
Minneapolis, MN 55404 - Phone
- (612) 813-8000
- Fax
- (612) 813-8005
- NPI assigned
- Mar 31, 2006
- Last updated
- Mar 9, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 42983 | MN | Primary |
Addresses
Primary practice location
2545 Chicago Ave S
#104
Minneapolis, MN 55404
Mailing address
2545 Chicago Ave S
#104
Minneapolis, MN 55404
Phone (612) 813-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 822105700 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42983 | MN | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1942261565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 CHICAGO AVE S",
"address_2": "#104",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-813-8000",
"fax_number": "612-813-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 CHICAGO AVE S",
"address_2": "#104",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-813-8000",
"fax_number": "612-813-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUEHLSTEDT",
"first_name": "STEVEN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "MN",
"license": "42983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "822105700",
"state": "MN"
}
],
"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 Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.