LTC PROFESSIONALS, PLLC
NPI 1417251935
Internal Medicine in Bloomington, MN

Active since December 23, 2010
7801 EAST BUSH LAKE RD, SUITE 400, BLOOMINGTON, MN 55439(952) 479-4261(866) 991-7241 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2024, Jul 12, 2024, Aug 10, 2021 and 1 more (4 updates tracked since 2019).

About Ltc Professionals, Pllc NPPES

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

LTC PROFESSIONALS, PLLC (NPI 1417251935) is a healthcare organization registered as an internal medicine in Bloomington, Minnesota and active in the NPI registry since December 2010. The organization lists Kurt Larson, President, as its authorized official.

NPPES Registry Identity

NPI1417251935
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLTC PROFESSIONALS, PLLC
Location Address7801 EAST BUSH LAKE RD, SUITE 400Bloomington, MN 55439
Mailing Address7801 East Bush Lake Rd, Suite 400Bloomington, MN 55439 · (952) 479-4261 · Fax (866) 991-7241
Fax(866) 991-7241
Organization SubpartNo
Authorized OfficialKurt LarsonPresident · (952) 479-4261
Enumeration DateDecember 23, 2010
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1417251935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · PainTaxonomy 261QP3300X
7801 EAST BUSH LAKE RD, Bloomington, MN 55439

Other Identifiers 1

Other535TN · Tonic Bioregulatory Medicine

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ltc Professionals, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Ltc Professionals, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner10
Podiatry3
Clinical Social Worker2
Family Practice2
Chiropractic1
Internal Medicine1

Clinicians, nearest first (19)

Podiatry
NPI 1518958925
7801 E BUSH LAKE RD STE 400
Minneapolis, MN 55439
(952) 479-4261
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1649806688
7801 E BUSH LAKE RD STE 400
Minneapolis, MN 55439
(952) 479-4261
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336126275
7801 E BUSH LAKE RD STE 400
Minneapolis, MN 55439
(952) 283-3162
✔ PECOSSame address
Nurse Practitioner
NPI 1508462813
7801 E BUSH LAKE RD STE 400
Minneapolis, MN 55439
(612) 209-9622
✔ PECOSSame address
Clinical Social Worker
NPI 1598812638
7801 E BUSH LAKE RD STE 400
Minneapolis, MN 55439
(952) 479-4261
✔ PECOSSame address
Chiropractic
NPI 1437654423
3115 HENNEPIN AVE # 205
Minneapolis, MN 55408
(612) 367-7216
6.6 mi
Nurse Practitioner
NPI 1093398133
8170 33RD AVE S
Bloomington, MN 55425
(952) 883-6959
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1235745126
2240 DREW AVE S
Minneapolis, MN 55416
(952) 985-0747
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1831677780
1700 UNIVERSITY AVE W FL 1
Saint Paul, MN 55104
(651) 232-2002
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1568925634
1026 7TH ST W
Saint Paul, MN 55102
(651) 758-9500
✔ PECOS12 mi
Nurse Practitioner
NPI 1114215076
1421 WAYZATA BLVD STE 200
Wayzata, MN 55391
(800) 640-3451
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1629038377
1675 VILLAGE TRL E UNIT 6
Saint Paul, MN 55109
(507) 363-9367
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1972132306
2104 NORTHDALE BLVD NW STE 220
Coon Rapids, MN 55433
(763) 537-6000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1306032065
2104 NORTHDALE BLVD NW SUITE 220
Minneapolis, MN 55433
(763) 507-6000
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1801814504
310 1ST AVE NW
New Prague, MN 56071
(952) 758-3090
✔ PECOS24 mi
Nurse Practitioner
NPI 1285190132
1621 HIGHWAY 47
Ogilvie, MN 56358
(612) 799-7564
✔ PECOS✔ Accepts Medicare66 mi
Podiatry
NPI 1942207253
24237 474TH AVE
Dell Rapids, SD 57022
(605) 212-5941
✔ PECOS✔ Accepts Medicare180 mi
Podiatry
NPI 1689695306
3507 CANFIELD RD STE 7
Youngstown, OH 44511
(330) 793-0566
✔ PECOS✔ Accepts Medicare692 mi
Nurse Practitioner
NPI 1689417529
3601 SW 160TH AVE
Miramar, FL 33027
(305) 866-7123
✔ PECOS✔ Accepts Medicare1,490 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ltc Professionals, PLLC's NPI number?

The NPI number for Ltc Professionals, PLLC is 1417251935. It was assigned to this organization in the NPPES registry on December 23, 2010.

Where is Ltc Professionals, PLLC located?

Ltc Professionals, PLLC is located at 7801 East Bush Lake Rd Suite 400, Bloomington, MN 55439. The listed phone number is (952) 479-4261.

What is Ltc Professionals, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ltc Professionals, PLLC enrolled in Medicare?

Yes. Ltc Professionals, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ltc Professionals, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to Ltc Professionals, PLLC. 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 Nurse Practitioner (10), Podiatry (3) and Clinical Social Worker (2). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ltc Professionals, PLLC was last updated on July 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.