Active NPI
Kiran K Lassi, M.D.
- Medical Oncology Physician
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 53612
- Practice address
- 11850 Blackfoot St NW
Suite 100
Coon Rapids, MN 55433-2578 - Phone
- (763) 712-2100
- Fax
- (763) 712-2190
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23407 | NE | |
| Hematology (Internal Medicine) Physician | 207RH0000X | 53612 | MN | |
| Medical Oncology Physician | 207RX0202X | 53612 | MN | Primary |
Addresses
Primary practice location
11850 Blackfoot St NW
Suite 100
Coon Rapids, MN 55433-2578
Mailing address
11850 Blackfoot St NW
Suite 100
Coon Rapids, MN 55433-2578
Phone (763) 712-2100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Nebraska College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- M Health Fairview Southdale Hospital
- M Health Fairview Ridges Hospital
- Fairview Lakes Health Services
- M Health Fairview St John'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23407 | NE | MD | Internal Medicine Physician |
| 53612 | MN | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Internal Medicine | Past | Accepting new patients |
| Minnesota Oncology Hematology, PA | Past | Accepting new patients | |
| Minnesota Oncology Hematology, PA | Internal Medicine | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
6363 France Ave S
Ste 610
Edina, MN 55435
Phone (952) 836-3645
14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371
Phone (763) 389-3344
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Interoperability endpoints
- klassi187206@fairview.direct-ci.com
- kiran.lassi@moh.ikm.direct-ci.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Practice Physician
- Wyoming, MN
- NPI 1902414378
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1528035995
Internal Medicine
-
- Radiation Oncology Physician
- Saint Paul, MN
- NPI 1598305427
-
- Hematology & Oncology Physician
- Saint Paul, MN
- NPI 1609911205
Internal Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1245320282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11850 BLACKFOOT ST NW",
"address_2": "SUITE 100",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332578",
"telephone_number": "763-712-2100",
"fax_number": "763-712-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 BLACKFOOT ST NW",
"address_2": "SUITE 100",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332578",
"telephone_number": "763-712-2100",
"fax_number": "763-712-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSI",
"first_name": "KIRAN",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "23407",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MN",
"license": "53612",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MN",
"license": "53612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.