JOSEPH B LILLEGARD MD
NPI 1346453644
Surgery - Pediatric Surgery in Minneapolis, MN

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

Active since May 07, 2007PECOS Enrolled

2530 CHICAGO AVE, SUITE 550, MINNEAPOLIS, MN 55404(612) 813-8606(612) 813-8005 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Joseph B Lillegard Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH B LILLEGARD MD (NPI 1346453644) is an individual pediatric surgery provider in Minneapolis, Minnesota, licensed in Pennsylvania (MD451384) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marshfield, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1346453644

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameJOSEPH B LILLEGARDCredential: MD

Location Address2530 CHICAGO AVE, SUITE 550Minneapolis, MN 55404-4289

Mailing Address2530 Chicago Ave Ste 550Minneapolis, MN 55404-4293 · (612) 813-8606 · Fax (612) 813-8005

Phone(612) 813-8606

Fax(612) 813-8005

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateMay 7, 2007

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1346453644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in PA · MD451384✔ Licensed in WI · 103103

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License 50054 (MN)

2530 CHICAGO AVE, Minneapolis, MN 55404

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Secondary Practice Location 1

Location 11000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511

Other Identifiers 3

Medicaid016990000MN

Medicaid35217100WI

MedicaidENROLLEDIA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph B Lillegard Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204928351

PECOS Enrollment IDI20251006001150

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STEVEN E HAUN M.D.

Pediatrics (Pediatric Critical Care Medicine)