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MICHAEL STEPHEN BEVAN DPM
NPI 1629389341
Podiatrist - Primary Podiatric Medicine in Minneapolis, MN

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
825 NICOLLET MALL STE 517, MINNEAPOLIS, MN 55402(612) 788-8778 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2019, Oct 29, 2018 (2 updates tracked since 2018).

About Michael Stephen Bevan Dpm NPPES

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

MICHAEL STEPHEN BEVAN DPM (NPI 1629389341) is an individual primary podiatric medicine provider in Minneapolis, Minnesota, licensed in Minnesota (919) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629389341
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameMICHAEL STEPHEN BEVANCredential: DPM
Location Address825 NICOLLET MALL STE 517Minneapolis, MN 55402
Mailing Address7770 Dell Rd, Ste 140Chanhassen, MN 55317-9316 · (952) 934-9360 · Fax (952) 975-0118
Phone(612) 788-8778
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 28, 2010
Last NPPES UpdateFebruary 15, 20192 updates tracked since enumeration
✔ NPI 1629389341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MN · 919
825 NICOLLET MALL STE 517, Minneapolis, MN 55402
Open in Google Maps ↗

Secondary Practice Location 1

Location 1825 Nicollet Mall Ste 517Minneapolis, MN 55402 · Phone (612) 788-8778

Other Identifiers 1

Medicaid1629389341MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Stephen Bevan Dpm 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 ID8325263353
PECOS Enrollment IDI20140708001599
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Bevan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Feet, Foot & Ankle Health Center
5.1 mi
Foot & Ankle Surgery
4001 STINSON BLVD STE 120
Minneapolis, MN 55421
  • Reassigned Medicare billing, Minnesota enrollment
  • 25 clinicians in this Medicare group
NPI 1164716387 (612) 788-8778
In House Senior Services, LLC
6.4 mi
Primary Podiatric Medicine
6625 LYNDALE AVE S STE 105
Richfield, MN 55423
  • Reassigned Medicare billing, Minnesota enrollment
  • 28 clinicians in this Medicare group
NPI 1083962294 (612) 788-8778

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

Areas of Expertise CMS Part B claims 7

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
489 services179 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
170 services83 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
74 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

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 Michael Bevan's NPI number?

The NPI number for Michael Bevan is 1629389341. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Michael Bevan located?

Michael Bevan practices at 825 Nicollet Mall Ste 517, Minneapolis, MN 55402. The listed phone number is (612) 788-8778.

What is Michael Bevan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Michael Bevan enrolled in Medicare?

Yes. Michael Bevan 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.

Which organizations bill Medicare for Michael Bevan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bevan reassigns Medicare benefits to 2 organizations: Active Feet, Foot & Ankle Health Center (Minneapolis, MN) and In House Senior Services, LLC (Richfield, MN). Each 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 Michael Bevan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Bevan was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.