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DR. LARA HAYEL AL-EJEILAT MD
NPI 1679889042
Pediatrics in Maple Grove, MN

Active since August 24, 2010PECOS Enrolled
14500 99TH AVE N, MAPLE GROVE, MN 55369(763) 898-1000(763) 898-1009 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lara Hayel Al-ejeilat Md NPPES

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

DR. LARA HAYEL AL-EJEILAT MD (NPI 1679889042) is an individual pediatrics provider in Maple Grove, Minnesota, licensed in Minnesota (56470) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679889042
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LARA HAYEL AL-EJEILATCredential: MD
Location Address14500 99TH AVE NMaple Grove, MN 55369-4730
Mailing Address5103 Lincoln DrEdina, MN 55436-1009 · (352) 871-1592
Phone(763) 898-1000
Fax(763) 898-1009
Sole ProprietorNo
Enumeration DateAugust 24, 2010
Last NPPES UpdateDecember 5, 2013
✔ NPI 1679889042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 56470
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14500 99TH AVE N, Maple Grove, MN 55369
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lara Hayel Al-ejeilat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lara Al-ejeilat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics
Same address
Multi-Specialty
14500 99TH AVE N, STE 100
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1841315165 (763) 898-1000
Fairview Health Services
16 mi
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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.

HEATHER LAGE RN, CDE
Registered Nurse (Diabetes Educator)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 898-1000
SARAH NICOLE OLSON VENNING LICSW
Social Worker (Clinical)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 600-0342
MS. RENEE HAROLDSON OTRL CHT
Occupational Therapist (Hand)
14500 99TH AVE N, #1-210
MAPLE GROVE, MN 55369
Hennepin County (763) 898-1778
BARBARA I BENSON RD
Dietitian, Registered
14500 99TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 898-1073
DR. JENNIFER MERTZ RIEGEL PHARM.D
Pharmacist
14500 99TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 898-1806
DR. MICHAELA MONETTI PH.D., LP
Psychologist (Clinical)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 898-1000
KATTI LAUREN WOERNER D.O
Internal Medicine (Nephrology)
14500 99TH AVE N, MEDICAL SPECIALTY CLINIC
MAPLE GROVE, MN 55369
Hennepin County (763) 898-1000
FAIRVIEW PHARMACY SERVICES LLC
Non-Pharmacy Dispensing Site
14500 99TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 898-1000

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 Lara Al-ejeilat's NPI number?

The NPI number for Lara Al-ejeilat is 1679889042. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Lara Al-ejeilat located?

Lara Al-ejeilat practices at 14500 99th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.

What is Lara Al-ejeilat's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lara Al-ejeilat enrolled in Medicare?

Yes. Lara Al-ejeilat is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lara Al-ejeilat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Al-ejeilat reassigns Medicare benefits to 2 organizations: Fairview Clinics (Maple Grove, MN) and Fairview Health Services (Minneapolis, 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 Lara Al-ejeilat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lara Al-ejeilat accept?

Health plans from Sanford Health Plan list Lara Al-ejeilat 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.

When was this NPI record last updated?

The NPPES record for Lara Al-ejeilat was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.