North Metro Dermatology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

50109 Issued in MN

Legal business name

NORTH METRO DERMATOLOGY PLLC

Practice address

400 Village Center Dr
Suite 200
North Oaks, MN 55127-7848

Phone

(651) 789-9800

NPI assigned

Feb 21, 2013

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anudeep Kaur Rahil, M.D.NPI 1124087358

Title

Physcian

Phone

(651) 789-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anudeep K Rahil, MD

  • Dermatology Physician
  • North Oaks, MN
  • NPI 1124087358
  Medicare reassignment Care Compare group Authorized official
• Devi Chettiar, PA-C

  • Physician Assistant
  • Minneapolis, MN
  • NPI 1609198167
  Medicare reassignment Care Compare group
• Bart Theodore Endrizzi, M.D/PH.D.

  • MOHS-Micrographic Surgery Physician
  • Fridley, MN
  • NPI 1235323585
  Medicare reassignment Care Compare group
• Sherri A Long, MD

  • Dermatology Physician
  • North Oaks, MN
  • NPI 1013980671
  Medicare reassignment Care Compare group
• Josephine Ann Sauro, PA-C

  • Dermatology Physician
  • North Oaks, MN
  • NPI 1194684670

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1174863658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CENTER DR",
            "address_2": "SUITE 200",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551277848",
            "telephone_number": "651-789-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CENTER DR",
            "address_2": "SUITE 200",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551277848",
            "telephone_number": "651-789-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "RAHIL",
        "authorized_official_first_name": "ANUDEEP",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "651-789-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "50109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladan Mohamed, PHARMD
• Yasin Farah Mohamed
• Momenta, PC
• Kristin Neafus
• Thomas Erik Neafus, D.D.S.
• Jacqueline Sue Pal, C-NP
• Marilynn Poss
• Presbyterian Homes of North Oaks Inc,
• Presbyterian Homes of North Oaks, Inc.
• Prime Chiropractic & Rehab Center

• Specialist in North Oaks, MN
• Providers in North Oaks, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.