Herbert L Cantrill, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0239583 Issued in MN

Practice address

3601 W 76TH St Ste 300
Edina, MN 55435-6215

Phone

(952) 897-1175

Fax

(952) 897-1178

NPI assigned

Oct 12, 2005

Last updated

Nov 13, 2024By 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 2

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

Ophthalmology

Education

Harvard Medical School, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitreoretinal Surgery PLLCGroup PAC ID 6709899768, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vitreoretinal Surgery PLLC

  dba Retina Consultants of Minnesota

  • Ophthalmology Physician
  • Edina, MN
  • NPI 1891783965
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1407844582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S",
            "address_2": "STE 310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554355800",
            "telephone_number": "952-897-1175",
            "fax_number": "952-897-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554356215",
            "telephone_number": "952-897-1175",
            "fax_number": "952-897-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRILL",
        "first_name": "HERBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "0239583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "828090800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30353200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Lauren Camp, PT, DPT
• Nicole Campbell, MSW, LICSW
• Ralph Blane Campbell III, LADC
• Dustin Patrick Campion, D.C.
• Suzanne Kathryn Canney Nguyen, PA-C
• John Capen, MD
• Capernaum Pediatric Therapy, Inc.
• Daniel Carballo, M.D.
• Cardinal Family Chiropractic, LTD.
• Cardiovascular Imaging Consultants, LLC

• Ophthalmology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.