Anudeep K Rahil, MD

Individual provider Active NPI Dermatology Physician · North Oaks, MN

NPI 1124087358 · NPPES record last updated Feb 6, 2014

Key facts

NPI
1124087358
Entity type
Individual (NPI type 1)
Primary specialty
Dermatology Physician 207N00000X
License
50109 (MN)
Practice address
400 Village Center Dr
North Oaks, MN 55127-7848
Phone
(651) 789-9800
Fax
(651) 789-9810
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Metro Dermatology PLLC (4 clinicians)

Practice addresses (Care Compare)

400 Village Ctr Dr
Suite 200
North Oaks, MN 55127-7093
Phone 6517899800809

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100 (group)
Quality
100
Improvement activities
40
Cost
91.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions391
Removal or shaving of skin growth1-10
Skin biopsy250

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20071221000286 MN Practitioner - Dermatology 3779558390 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50109MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Hand Therapy & Rehabilitation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 50109 MN Yes

Addresses

Primary practice location

400 Village Center Dr
North Oaks, MN 55127-7848

Mailing address

400 Village Center Dr
North Oaks, MN 55127-7848
Phone (651) 789-9800

Other providers in North Oaks, MN

All providers in North Oaks, MN · Dermatology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.