Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Michael Penny, DO

Individual provider Family Medicine Physician · NPI 1023541604

Dr. Justin Michael Penny, DO is a Family Practice in Minneapolis, Minnesota. Qualified in 2017, 9 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1221 W Lake St Ste 201
Minneapolis, MN 55408-3565
Phone: (612) 824-1772
Fax: (612) 821-4799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 E 28th St Ste 104, Minneapolis, MN 55407-1453 — (612) 343-7158

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64166 (MN)

Record details

NPI number1023541604
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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