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WILLIAM LONG MD
NPI 1760010813
Pediatrics - Pediatric Cardiology in Minneapolis, MN

Active since April 01, 2020PECOS Enrolled
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 365-1000 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2023, Apr 1, 2020 (2 updates tracked since 2020).

About William Long Md NPPES

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

WILLIAM LONG MD (NPI 1760010813) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Minnesota (82754) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2020).

NPPES Registry Identity

NPI1760010813
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameWILLIAM LONGCredential: MD
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450
Phone(612) 365-1000
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1760010813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MN · 82754
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Long Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153893409
PECOS Enrollment IDI20260617002717
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

3

Medicare enrollment records show William Long reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Minnesota Pediatric Dental Clinic
0.1 mi
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 clinicians in this Medicare group
NPI 1992075287 (651) 659-4900
Hennepin Healthcare System, Inc
1.2 mi
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
NPI 1962914333 (612) 617-4600
Centracare Clinic
34 mi
Multi-Specialty
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1013104348 (763) 263-7300

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

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 William Long's NPI number?

The NPI number for William Long is 1760010813. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is William Long located?

William Long practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 365-1000.

What is William Long's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is William Long enrolled in Medicare?

Yes. William Long is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Long reassigns Medicare benefits to 3 organizations: University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), Hennepin Healthcare System, Inc (Minneapolis, MN) and Centracare Clinic (Big Lake, 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 William Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Long accept?

Health plans from HealthPartners list William Long 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 William Long was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.