Bart Theodore Endrizzi, M.D/PH.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

52206 Issued in MN

Practice address

500 Osborne Rd NE Ste 330
Fridley, MN 55432-2769

Phone

(763) 571-4000

NPI assigned

Aug 29, 2007

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

University of Minnesota Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Metro Dermatology PLLCGroup PAC ID 4688815343, 4 clinicians

Associated Skin Care Specialists, PAGroup PAC ID 8921908047, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Quality

100

Improvement activities

40

Cost

91.5

Merit-based Incentive Payment System (MIPS)

Final score

82.79 of 100Reported as group

Quality

53.64

Promoting interoperability

100

Improvement activities

40

Cost

88.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

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.

• Associated Skin Care Specialists, PA

  • Dermatology Physician
  • Coon Rapids, MN
  • NPI 1083659569
  Medicare reassignment Care Compare group NPD
• North Metro Dermatology PLLC

  • Specialist
  • North Oaks, MN
  • NPI 1174863658
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1235323585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 14TH ST NW STE 240",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551120007",
            "telephone_number": "763-571-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORNE RD NE STE 330",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322769",
            "telephone_number": "763-571-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRIZZI",
        "first_name": "BART",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D/PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MN",
            "license": "52206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmarke Khalif Elmi
• Deborah Lynn Elsen, RN CDE
• Eman Home Healthcare Inc
• Emmanuel Home Health Care LLC (Emmanuel Home Health Care)
• Empower Skill Academy LLC
• Seth David Engberg, PT
• Annamarie Engel, DPT
• Enlight Autism Center LLC
• Emily Gail Erickson, LMFT
• Kaari Anne Erickson

• MOHS-Micrographic Surgery Physician in Fridley, MN
• Providers in Fridley, MN by specialty
• MOHS-Micrographic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.