Individual provider Active NPI

Adel Qalieh, MD

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1093456303
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
82103 Issued in MN
Practice address
3601 W 76TH St Ste 325
Edina, MN 55435-5242
Phone
(952) 929-1131
Fax
(952) 929-8873
NPI assigned
Apr 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 82103 MN Primary

Addresses

Primary practice location

3601 W 76TH St Ste 325
Edina, MN 55435-5242

Mailing address

3601 W 76TH St Ste 300
Edina, MN 55435-3004
Phone (952) 929-1131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515001202 MN Practitioner - Ophthalmology 6002294832

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13492 Research Blvd
Suite 120
Austin, TX 78750

3601 W 76TH St
Suite 300
Edina, MN 55435-3004

701 Park Ave
Minneapolis, MN 55415-1829

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82103MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Jul 1, 2026 Accepting new patients

Locations

3601 W 76th St
Ste 325
Minneapolis, MN 55435
Phone (952) 929-1131

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002

Interoperability endpoints

  • Direct secure messaging: aqalieh785030@direct.hfhs.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1093456303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353004",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355242",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QALIEH",
        "first_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-02",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "82103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.