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LEAH VIVIAN PATULLO DO
NPI 1376048041
Emergency Medicine in Plymouth, MN

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
2855 CAMPUS DR, PLYMOUTH, MN 55441(763) 577-7160(763) 577-7074 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Apr 30, 2024, Mar 5, 2024 and 2 more (5 updates tracked since 2018).

About Leah Vivian Patullo Do NPPES

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

LEAH VIVIAN PATULLO DO (NPI 1376048041) is an individual emergency medicine provider in Plymouth, Minnesota, licensed in Minnesota (76135) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1376048041
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLEAH VIVIAN PATULLOCredential: DO
Location Address2855 CAMPUS DRPlymouth, MN 55441-2649
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Phone(763) 577-7160
Fax(763) 577-7074
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateJune 25, 20245 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1376048041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MN · 76135✔ Licensed in WI · 72759
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2855 CAMPUS DR, Plymouth, MN 55441
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 E 28th St # 11112Minneapolis, MN 55407-3723 · Phone (612) 439-1860 · Fax (763) 577-7074

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Vivian Patullo Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092144378
PECOS Enrollment IDI20240506003308
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
204 services200 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
105 services97 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Allina Health Faribault Medical Center

Acute Care Hospitals · Faribault, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240071
Location200 State AvenueFaribault, MN 55021 · Rice County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JACQUELYN H BAKER MA, LP, LMFT
Marriage & Family Therapist
2855 CAMPUS DR, SUITE 400
PLYMOUTH, MN 55441
Hennepin County (612) 577-7400
JAYNE EBERHARDT CRNA
Nurse Anesthetist, Certified Registered
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7000
PETER LAWRENCE SEDLACEK CRNA
Nurse Anesthetist, Certified Registered
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7000
DANIELA T OUZOUNOVA MD
Internal Medicine
2855 CAMPUS DR, STE. 400
PLYMOUTH, MN 55441
Hennepin County (763) 577-7400
DARLENE FLINT CRNA
Nurse Anesthetist, Certified Registered
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7000
INFINITE HEALTH COLLABORATIVE, PA
Durable Medical Equipment & Medical Supplies
2855 CAMPUS DR, SUITE 660
PLYMOUTH, MN 55441
Hennepin County (952) 920-0970
KJERSTEN WING STRUCK NP
Nurse Practitioner
2855 CAMPUS DR
PLYMOUTH, MN 55441
Hennepin County (763) 577-7160
PEIYI WANG MD
Internal Medicine
2855 CAMPUS DR, SUITE 400
PLYMOUTH, MN 55441
Hennepin County (763) 577-7400

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 Leah Patullo's NPI number?

The NPI number for Leah Patullo is 1376048041. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Leah Patullo located?

Leah Patullo practices at 2855 Campus Dr, Plymouth, MN 55441. The listed phone number is (763) 577-7160.

What is Leah Patullo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Leah Patullo enrolled in Medicare?

Yes. Leah Patullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leah Patullo accept?

Health plans from Medica list Leah Patullo 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.

Is Leah Patullo affiliated with any hospitals?

According to CMS data, Leah Patullo is affiliated with North Memorial Health Hospital, Abbott Northwestern Hospital and Allina Health Faribault Medical Center.

When was this NPI record last updated?

The NPPES record for Leah Patullo was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.