Individual provider Active NPI

Lynda Sue Kauls, M.D.

  • Dermatology Physician
  • Minneapolis, MN
National Provider Identifier
1205841715
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
50023 Issued in MN
Practice address
275 Market St
Suite 215
Minneapolis, MN 55405-1627
Phone
(612) 746-4144
Fax
(612) 746-4149
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 50023 MN Primary

Addresses

Primary practice location

275 Market St
Suite 215
Minneapolis, MN 55405-1627

Mailing address

275 Market St
Suite 215
Minneapolis, MN 55405-1627
Phone (612) 746-4144

Other identifiers 1

IdentifierTypeStateIssuer
423680000MedicaidMN

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
I20071022000667 MN Practitioner - Dermatology 5991725335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Market Street Dermatology PCGroup PAC ID 1658515069, 2 clinicians

Practice addresses (Care Compare)

275 Market St
Suite 215
Minneapolis, MN 55405-1623
Phone (612) 746-4144

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions373
Removal or shaving of skin growth1-10
Skin biopsy144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Market Street Dermatology, PC Dermatology CurrentSince Feb 25, 2013 Accepting new patients

Locations

275 Market St
Ste 215
Minneapolis, MN 55405
Phone (612) 584-1286

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.

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1205841715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MARKET ST",
            "address_2": "SUITE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051627",
            "telephone_number": "612-746-4144",
            "fax_number": "612-746-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARKET ST",
            "address_2": "SUITE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051627",
            "telephone_number": "612-746-4144",
            "fax_number": "612-746-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAULS",
        "first_name": "LYNDA",
        "middle_name": "SUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "50023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423680000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.