Individual provider Active NPI

Josephine Ann Sauro, PA-C

  • Dermatology Physician
  • North Oaks, MN
National Provider Identifier
1194684670
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1246138 Issued in MN
Practice address
400 Village Center Dr Ste 200
North Oaks, MN 55127-7093
Phone
(651) 789-9800
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1246138 MN Primary

Addresses

Primary practice location

400 Village Center Dr Ste 200
North Oaks, MN 55127-7093

Mailing address

801 1St Ave S
South Saint Paul, MN 55075-3051

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505003375 MN Practitioner - Physician Assistant 8729556022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

139 Fulton St
RM 609
New York, NY 10038-2530

400 Village Ctr Dr
Suite 200
North Oaks, MN 55127

801 1St Ave S
South Saint Paul, MN 55075-3051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1246138MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Metro Dermatology PLLC Single Specialty CurrentSince Mar 29, 2026 Accepting new patients

Locations

400 Village Center Dr
Ste 200
Saint Paul, MN 55127
Phone (651) 789-9800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1194684670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 1ST AVE S",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550753051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VILLAGE CENTER DR STE 200",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551277093",
            "telephone_number": "651-789-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAURO",
        "first_name": "JOSEPHINE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "1246138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Oaks, MN

Sources for this page

Verify at the official NPI Registry.