Active NPI
Alireza Mahmoudi, MD
- Ophthalmology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 80140
- Practice address
- 3601 W 76TH St Ste 300
Edina, MN 55435-3004 - Phone
- (952) 929-1131
- NPI assigned
- Apr 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 39157 | FL | |
| Ophthalmology Physician | 207W00000X | 80140 | MN | Primary |
Addresses
Primary practice location
3601 W 76TH St Ste 300
Edina, MN 55435-3004
Mailing address
3601 W 76TH St Ste 300
Edina, MN 55435-3004
Phone (952) 929-1131
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131
Hospital & facility affiliations
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39157 | FL | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitreoretinal Surgery PLLC | Ophthalmology | Current | Accepting new patients |
Locations
2830 Cutters Grove Ave
Ste 100
Anoka, MN 55303
Phone (612) 871-2292
11855 Ulysses St NE
Ste 110
Blaine, MN 55434
Phone (763) 235-4104
3601 W 76th St
Fl 3
Edina, MN 55435
4316 Rice Lake Rd
Ste 106
Hermantown, MN 55811
Phone (218) 625-5020
99 Navaho Ave
Ste 100
Mankato, MN 56001
Phone (507) 385-1311
2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292
3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175
4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353
7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100
Interoperability endpoints
- amahmoudi@vrssurgery.intellechartdirect.net
- amahmoudi136798@direct.med.miami.edu
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Edina, MN
- NPI 1891783965
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1497508642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W 76TH ST STE 300",
"city": "EDINA",
"state": "MN",
"postal_code": "554353004",
"telephone_number": "952-929-1131"
},
{
"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": "554353004",
"telephone_number": "952-929-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUDI",
"first_name": "ALIREZA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-08",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "FL",
"license": "39157",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "80140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.