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PEDIATRIC SURGICAL ASSOCIATES LTD
NPI 1093778292
Surgery - Pediatric Surgery in Minneapolis, MN

Active since April 10, 2006CLIA 24D0401427 · Waiver
2530 CHICAGO AVE, SUITE 550, MINNEAPOLIS, MN 55404(612) 813-8000(612) 813-8005 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, 2026 and lists Paul Louiselle, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093778292
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePEDIATRIC SURGICAL ASSOCIATES LTD
Location Address2530 CHICAGO AVE, SUITE 550Minneapolis, MN 55404-4289
Mailing Address4530 W 77th St, Suite 205Edina, MN 55435-5006 · (952) 835-9442 · Fax (952) 835-9443
Phone(612) 813-8000
Fax(612) 813-8005
Organization SubpartNo
Authorized OfficialPaul LouiselleExecutive Director · (612) 813-8006
Enumeration DateApril 10, 2006
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1093778292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X
2530 CHICAGO AVE, Minneapolis, MN 55404
Open in Google Maps ↗

Other Identifiers 1

Medicaid360710100MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

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, MN
Active · expires Aug 31, 2026
CLIA Number24D0401427
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJulianne J. Crocker
Laboratory Phone(612) 813-8000
Laboratory LocationPediatric Surgical Associates2530 Chicago Avenue South, Suite 550, Minneapolis, MN 55404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE HAWKINS
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE, CSC 390
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6102
TIFFANIE J WOODS CPNP
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 874-1292
CHILDREN'S RESPIRATORY & CRITICAL CARE SPECIALISTS. P.A.
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. KELLY L. ROOD M.D.
Pediatrics (Pediatric Cardiology)
2530 CHICAGO AVE, STE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8800
ROD T TARRAGO M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
TRESSA G DYKSTRA CNP
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6300
ROBERT HAMPTON RICH MD
Surgery (Pediatric Surgery)
2530 CHICAGO AVE, #550
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8000
THE CHILDREN'S HEART CLINIC
Special Hospital
2530 CHICAGO AVE, SUITE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8813

Frequently 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.

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, 2026. 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 Medica 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 3 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.