Brian David Zelickson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

31389 Issued in MN

Practice address

825 Nicollet Mall
Suite 1002
Minneapolis, MN 55402-2606

Phone

(612) 338-0711

Fax

(612) 332-3663

NPI assigned

May 25, 2006

Last updated

Jul 1, 2010By 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

Other identifiers 1

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

Dermatology

Education

Mayo Medical School, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Skin Specialists LTDGroup PAC ID 0446558993, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.zelickson.md@uss.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.

• United Skin Specialists, LTD PC

  dba Schweiger Dermatology Group

  • Procedural Dermatology Physician
  • Edina, MN
  • NPI 1861861759
  Medicare reassignment Care Compare group NPD
• Skin Specialists

  • Procedural Dermatology Physician
  • Minneapolis, MN
  • NPI 1629442538
  NPD (past) Authorized official
• Southwest Dermatology

  • Procedural Dermatology Physician
  • Richfield, MN
  • NPI 1518331420
  NPD (past) Authorized official
• Southwest Dermatology Specialists. LTD

  • Dermatology Physician
  • Richfield, MN
  • NPI 1205960317
  NPD
• Zel Skin & Laser Specialists, LLC

  • Ambulatory Surgical Clinic/Center
  • Edina, MN
  • NPI 1629175617
  NPD (past)
• United Skin Specialists Illinois LTD, PC

  dba Skin Care Center of S. Illinois - Centralia

  • Dermatology Physician
  • Mount Vernon, IL
  • NPI 1467955179
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1336195148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 1002",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-338-0711",
            "fax_number": "612-332-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 1002",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-338-0711",
            "fax_number": "612-332-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELICKSON",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "31389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3683231-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily C Zehrer, MD
• Alvin Zeighami-Dominguez
• Kidmealem Lulseged Zekarias, M.D.
• Najma Nuredin Zekeria
• Robert James Zeleznikar, MD
• Dimitriy B Zelikman, LICSW
• Jeremy Zellmann
• Seble Zemariyam
• Sarah Zemek, DPT
• Morgan Zender

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.