Kamruz Darabi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

55882 Issued in MN

Practice address

582 Cherry Dr
Waconia, MN 55387-4578

Phone

(952) 395-6850

Fax

(952) 395-6870

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

DermatologyAlso: Pathology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Professionals West PCGroup PAC ID 0941618771, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdarabimd@darabidermatology.emadirect.md
• Direct secure messaging: kdarabimd@skinpw.emadirect.md

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.

• Skin Professionals West, P.C.

  dba Darabi Dermatology

  • Dermatology Physician
  • Waconia, MN
  • NPI 1992394944
  Medicare reassignment Care Compare group NPD Authorized official
• James P Wire MD PA

  • Specialist
  • Chaska, MN
  • NPI 1982621918
  NPD (past)
• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Sunbury, OH
  • NPI 1083622930
  NPD (past)
• Central Ohio Skin & Cancer Inc

  • Dermatology Physician
  • Westerville, OH
  • NPI 1922016864
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1235340894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 CHERRY DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874578",
            "telephone_number": "952-395-6850",
            "fax_number": "952-395-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 CHERRY DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874578",
            "telephone_number": "952-395-6850",
            "fax_number": "952-395-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARABI",
        "first_name": "KAMRUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MN",
            "license": "55882",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MN",
            "license": "55882",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "55882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Lee Cox, OTR/L, CHT
• Wendy Cregg, NP-C
• Erin Kathleen Dahn
• Christina Dalki
• Brittney Marie Dammann, M.S., CCC-SLP
• David B. Daubert
• Holly Faye Davis, L.AC.
• Richard A Davis, MD
• Tracy M Davis, LMFT
• Dayrides, Inc

• Dermatology Physician in Waconia, MN
• Providers in Waconia, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.