EDINA SPORTS AND FAMILY MEDICINE
NPI 1215010335
Family Medicine in Edina, MN
About Edina Sports And Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDINA SPORTS AND FAMILY MEDICINE (NPI 1215010335) is a healthcare organization registered as a family medicine in Edina, Minnesota and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through September 3, 2027 and lists Rochelle R. Taube, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edina Sports And Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Edina Sports And Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Accreditation 24D1003175
Edina Sports + Family Medicine · Edina, 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 Edina Sports Health & Wellness, PA's NPI number?
The NPI number for Edina Sports Health & Wellness, PA is 1215010335. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Edina Sports And Family Medicine.
Where is Edina Sports Health & Wellness, PA located?
Edina Sports Health & Wellness, PA is located at 7701 York Ave S Ste 300, Edina, MN 55435. The listed phone number is (952) 926-6489.
What is Edina Sports Health & Wellness, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edina Sports Health & Wellness, PA enrolled in Medicare?
Yes. Edina Sports Health & Wellness, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edina Sports Health & Wellness, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Family Practice, reassign their Medicare billing to Edina Sports Health & Wellness, PA. 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. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Edina Sports Health & Wellness, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 24D1003175) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Edina Sports Health & Wellness, PA was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Edina Sports And Family Medicine · NPI 1215010335
Family Medicine organization in Edina, Minnesota. Organization record, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1215010335 (Entity type: Organization)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Edina Sports Health & Wellness, Pa
- **Organization subpart:** No
- **Authorized official:** Rochelle Taube, OWNER
## Practice location
- **Address:** 7701 YORK AVE S STE 300, Edina, MN 55435-5864
- **Phone:** (952) 926-6489 · **Fax:** (952) 926-6501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2022
- **Other identifiers:** Medicaid 550095800 (MN)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1215010335) · Data from the CMS NPPES public registry.