Individual provider Active NPI

Karlu Dorleh, NP

  • Family Nurse Practitioner
  • Richfield, MN
National Provider Identifier
1285231621
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7744 Issued in MN
Practice address
6601 Lyndale Ave S
Ste 220
Richfield, MN 55423-2493
Phone
(612) 823-8001
NPI assigned
Oct 8, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7744 MN Primary

Addresses

Primary practice location

6601 Lyndale Ave S
Ste 220
Richfield, MN 55423-2493

Mailing address

6601 Lyndale Ave S
Ste 220
Richfield, MN 55423-2493
Phone (612) 823-8001

Other practice location 1

14151 Territorial Rd Unit 212
Maple Grove, MN 55369-5725
Phone (612) 237-8725

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104001513 MN Practitioner - Nurse Practitioner 4587074471 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7744MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
1 On 1 Comprehensive Healthcare Solution LLC Current Accepting new patients
Matrix Medical Plus CurrentSince Dec 1, 2022 Accepting new patients
Regency Hospital of Minneapolis, LLC CurrentSince Jan 1, 2021 Accepting new patients
Ilbnc, P.a. PastSince Feb 1, 2021 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1285231621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S",
            "address_2": "STE 220",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232493",
            "telephone_number": "612-823-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 LYNDALE AVE S",
            "address_2": "STE 220",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232493",
            "telephone_number": "612-823-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14151 Territorial Rd Unit 212",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553695725",
            "country_code": "US",
            "telephone_number": "612-237-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORLEH",
        "first_name": "KARLU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

Verify at the official NPI Registry.