NPIMap

Individual provider Active NPI

Hany Deirawan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Bismarck, ND
National Provider Identifier
1366804569
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
22431 Issued in ND
Practice address
2700 State St
Bismarck, ND 58503-0669
Phone
(701) 712-4500
NPI assigned
Mar 26, 2016
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 22431 ND Primary
Dermatology Physician 207N00000X 22431 ND

Addresses

Primary practice location

2700 State St
Bismarck, ND 58503-0669

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY, IL, OK, SD, ND6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20190718002577 MI Practitioner - DermatologyPractitioner - General Practice 4981997681 Reassigns benefits to 3 organizations
I20230721001012 KY Practitioner - Dermatology 4981997681 Reassigns benefits to 1 organization
I20250115002272 IL Practitioner - Dermatology 4981997681 Reassigns benefits to 1 organization
I20250819000097 OK Practitioner - Dermatology 4981997681 Reassigns benefits to 1 organization
I20250825001622 SD Practitioner - DermatologyPractitioner - Other (Physician) 4981997681 Reassigns benefits to 1 organization
I20251104003876 ND Practitioner - Dermatology 4981997681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

401 N 9TH St
Bismarck, ND 58501-4530
Phone (701) 712-4500

6701 S Minnesota Ave
Sioux Falls, SD 57108-2591
Phone (605) 322-6960

800 W Boise Cir
Suite 400
Broken Arrow, OK 74012-4974
Phone (918) 307-0215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of skin lesions250
Removal of skin cancer183
Removal or shaving of skin growth21
Skin biopsy144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22431NDMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health, LLC CurrentSince Oct 20, 2025 Accepting new patients
Soderstrom Dermatology Center S C CurrentSince Dec 20, 2024 Accepting new patients
Avera McKennan CurrentSince Jun 2, 2025 Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Mohs-Micrographic Surgery Current Accepting new patients
Innovis Health LLC CurrentSince Oct 20, 2025 Accepting new patients
Oklahoma Cancer Specialists and Research Institute, LLC CurrentSince Aug 1, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 1, 2023 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Avera McKennan Dermatology CurrentSince Jun 2, 2025 Accepting new patients
S L Husain Hamzavi MD PC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Hany Deirawan MD PLLC Dermatology CurrentSince Aug 3, 2023 Accepting new patients
Tulsa Cancer Institute PLLC Current Accepting new patients
Dermatology Specialists of Ann Arbor, PLLC Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Avera McKennan Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 1, 2023 Accepting new patients
Soderstrom Dermatology Center S C Dermatology CurrentSince Dec 20, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
University Physician Group Past Accepting new patients
Avera McKennan Surgery Past Accepting new patients
Robert G German MD PC Dermatology Past Accepting new patients
Oklahoma Cancer Specialists and Research Institute LLC Past Accepting new patients

Locations

4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546

2200 Marquette Rd
Peru, IL 61354
Phone (815) 224-7400

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

210 Black Gold Blvd
Ste 211
Hazard, KY 41701
Phone (606) 487-7303

4200 Whitehall Dr
Ste 250
Ann Arbor, MI 48105
Phone (734) 622-5016

285 N Lilley Rd
Canton, MI 48187
Phone (734) 495-1506

43151 Dalcoma Dr
Clinton Twp, MI 48038
Phone 5862868720308

43151 Dalcoma Dr
Ste 1
Clinton Twp, MI 48038
Phone 5862868720308

22720 Michigan Ave
Ste 301
Dearborn, MI 48124
Phone (248) 906-8339

7200 Dan Hoey Rd
Ste A
Dexter, MI 48130
Phone (734) 726-0760

2950 Keewahdin Rd
Fort Gratiot, MI 48059
Phone (810) 455-1600

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

2700 State St
Bismarck, ND 58503
Phone (701) 221-9152

2700 State St
Ste A2
Bismarck, ND 58503
Phone (701) 712-4500

401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

800 W Boise Cir
Ste 400
Broken Arrow, OK 74012
Phone (918) 307-0215

12697 E 51st St
Tulsa, OK 74146
Phone (918) 505-3200

6701 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 322-6960

Interoperability endpoints

  • Direct secure messaging: hany.deirawan.1@30124.direct.athenahealth.com
  • Direct secure messaging: hdeirawan414672@direct.hfhs.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1366804569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 STATE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030669",
            "telephone_number": "701-712-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIRAWAN",
        "first_name": "HANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "ND",
            "license": "22431",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "22431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.