NPIMap

Individual provider Active NPI

Alaaddin Hasan Kandeel, M.D.

  • Allergy & Immunology Physician
  • Chaska, MN
National Provider Identifier
1003110008
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
56325 Issued in MN
Practice address
111 Hundertmark Rd
Chaska, MN 55318-4551
Phone
(952) 361-2458
Fax
(952) 361-2476
NPI assigned
Jan 5, 2011
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 257049-1 NY
Allergy & Immunology Physician 207K00000X 56325 MN Primary

Addresses

Primary practice location

111 Hundertmark Rd
Chaska, MN 55318-4551

Mailing address

111 Hundertmark Rd
Chaska, MN 55318-4551
Phone (952) 361-2476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131226000857 MN Practitioner - Allergy/Immunology 1153592472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essentia Health Virginia LLCGroup PAC ID 7810149002, shared by 4 NPIs, 64 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

2501 Keenan Dr
International Falls, MN 56649-2181
Phone (218) 283-9431

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257049-1NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Aug 25, 2025 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Ridgeview Medical Center CurrentSince Jun 19, 2024 Accepting new patients
Ridgeview Medical Center CurrentSince Jun 19, 2024 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Allergy & Asthma Associates of Murray Hill, P C Allergy & Immunology Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1003110008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184551",
            "telephone_number": "952-361-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184551",
            "telephone_number": "952-361-2458",
            "fax_number": "952-361-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDEEL",
        "first_name": "ALAADDIN",
        "middle_name": "HASAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "257049-1",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MN",
            "license": "56325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.