Active NPI
Sharon Luster Dykes, MD
- Colon & Rectal Surgery Physician
- Minneapolis, MN
National Provider Identifier
1265487284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 40267
- Practice address
- 910 E 26TH St
Suite 101
Minneapolis, MN 55404-4526 - Phone
- (612) 293-9977
- Fax
- (612) 293-9988
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 40267 | MN | Primary |
Addresses
Primary practice location
910 E 26TH St
Suite 101
Minneapolis, MN 55404-4526
Mailing address
2355 Fairview Ave N
Suite 207
Roseville, MN 55113-2724
Phone (612) 293-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 939623300 | Medicaid | MN |
Other names 1
- Dr. Sharon Michelle Luster
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070511000408 | MN | Practitioner - Colorectal Surgery (Proctology) | 8224135017 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Warren Alpert Medical School of Brown University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2355 Fairview Ave
Suite 207
Roseville, MN 55113-2724
2355 Fairview Ave N
Suite 207
Roseville, MN 55113-2724
6401 France Ave S
Endoscopy Suite
Edina, MN 55435-2104
Phone (612) 293-9977
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
- M Health Fairview Ridges Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Colon & Rectal Surgical Specialists, PLLC | Current | Accepting new patients | |
| Colon & Rectal Surgery Associates LTD | Colon & Rectal Surgery | Past | Accepting new patients |
Locations
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
910 E 26th St
Ste 101
Minneapolis, MN 55404
Phone (612) 293-9977
2355 Fairview Ave N
Saint Paul, MN 55113
Phone (612) 999-8057
Organizations & group practices 2
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.
-
- Colon & Rectal Surgery Physician
- Minneapolis, MN
- NPI 1376596775
Colon & Rectal Surgery
Hospital & facility affiliations 5
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": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1265487284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 FAIRVIEW AVE N",
"address_2": "SUITE 207",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132724",
"telephone_number": "612-293-9977",
"fax_number": "612-293-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E 26TH ST",
"address_2": "SUITE 101",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044526",
"telephone_number": "612-293-9977",
"fax_number": "612-293-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKES",
"first_name": "SHARON",
"middle_name": "LUSTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MN",
"license": "40267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "939623300",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "LUSTER",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.