Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033178405 Individual Practitioner Male Practitioner

Dr. Wayne Frederick Leebaw , MD

Specialist • Edina, MN

Professional Overview & Biography Verified Profile Summary

Dr. Wayne Leebaw, MD is a registered healthcare professional specializing in Specialist in Edina, MN. Practice services are available at 7701 YORK AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7701 York Ave S
Suite 180

Edina, MN 554355845

Telephone 9529277810
Fax 9529276309
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Edina, MN (877 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 23267

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
656388100 (MN)
Commercial Insurance / Payer ID America's Ppo
21002 (MN)
Commercial Insurance / Payer ID Medica Choice
3317283 (MN)
Commercial Insurance / Payer ID Tricare
410999025 (MN)
Commercial Insurance / Payer ID Select Care
0256006 (MN)
Commercial Insurance / Payer ID Medica Primary
3300003 (MN)
Commercial Insurance / Payer ID Health Partners
HP13803 (MN)
Commercial Insurance / Payer ID Blue Cross Blue Shield
53967LE (MN)
Commercial Insurance / Payer ID Preferred One
960540799004 (MN)
Commercial Insurance / Payer ID Ucare
120263C626 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Lisa Feese , RN CDE FNP

Nurse Practitioner

NPI 1033173620

RNCDEFNP

NPI 1093775736

Doctor of Medicine (M.D.)

NPI 1326007709

Doctor of Medicine (M.D.)

Jasmin Ramirez , RD LD CDE

Dietitian, Registered - Nutrition, Metabolic

NPI 1588628135

RDLDCDE

Dr. Thomas Laedtke , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1679532022

Doctor of Medicine (M.D.)

Laura Russell , RD, CDE

Dietitian, Registered

NPI 1689608523

Registered Dietitian, Certified Diabetes Educator

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2008

Registered at 7701 YORK AVE S, SUITE 180, EDINA, MN 554355845 (Tel: 9529277810)

📍
Updated Business Mailing Address May 06, 2008

Registered at 7701 YORK AVE S, SUITE 180, EDINA, MN 554355845 (Tel: 9529277810)

👤
Provider Name / Credentials Updated May 06, 2008

Recorded as WAYNE LEEBAW, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Specialist (License #23267 in MN)

🟢
Initial NPI Registration & Enumeration March 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033178405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2006
Last Update: May 06, 2008
Sole Proprietor: No

Mailing Address

7701 York Ave S, Suite 180

Edina, MN 554355845

Phone: 9529277810

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.