PEDIATRIC SURGICAL ASSOCIATES LTD
NPI 1093778292
Surgery - Pediatric Surgery in Minneapolis, MN
About Pediatric Surgical Associates Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC SURGICAL ASSOCIATES LTD (NPI 1093778292) is a healthcare organization registered as a pediatric surgery in Minneapolis, Minnesota and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Paul Louiselle, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pediatric Surgical Associates Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Pediatric Surgical Associates Ltd, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 17 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D0401427
Pediatric Surgical Associates · Minneapolis, MNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pediatric Surgical Associates Ltd's NPI number?
The NPI number for Pediatric Surgical Associates Ltd is 1093778292. It was assigned to this organization in the NPPES registry on April 10, 2006.
Where is Pediatric Surgical Associates Ltd located?
Pediatric Surgical Associates Ltd is located at 2530 Chicago Ave Suite 550, Minneapolis, MN 55404. The listed phone number is (612) 813-8000.
What is Pediatric Surgical Associates Ltd's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Pediatric Surgical Associates Ltd enrolled in Medicare?
Yes. Pediatric Surgical Associates Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric Surgical Associates Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Pediatric Surgical Associates Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pediatric Medicine (11), Nurse Practitioner (4) and General Surgery (2). Of these, 14 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pediatric Surgical Associates Ltd hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0401427) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pediatric Surgical Associates Ltd accept?
Health plans from HealthPartners and Sanford Health Plan list Pediatric Surgical Associates Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pediatric Surgical Associates Ltd was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pediatric Surgical Associates Ltd · NPI 1093778292
Pediatric Surgery organization in Minneapolis, Minnesota. Organization record, active in the CMS NPPES registry since April 10, 2006.
## Identity
- **NPI:** 1093778292 (Entity type: Organization)
- **Enumerated:** April 10, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **Organization subpart:** No
- **Authorized official:** Paul Louiselle, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 2530 CHICAGO AVE, SUITE 550, Minneapolis, MN 55404-4289
- **Phone:** (612) 813-8000 · **Fax:** (612) 813-8005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (11), Nurse Practitioner (4), General Surgery (2); 14 practice at this address and 17 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2026
- **Other identifiers:** Medicaid 360710100 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093778292) · Data from the CMS NPPES public registry.