Individual provider Active NPI

Sundeep Dev, MD

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1497744924
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41463 Issued in MN
Practice address
3601 W 76TH St Ste 325
Edina, MN 55435-5242
Phone
(952) 929-1131
Fax
(952) 929-8873
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 41463 MN
Ophthalmology Physician 207W00000X 41463 MN Primary

Addresses

Primary practice location

3601 W 76TH St Ste 325
Edina, MN 55435-5242

Mailing address

3601 W 76TH St Ste 325
Edina, MN 55435-5242
Phone (952) 929-1131

Other identifiers 1

IdentifierTypeStateIssuer
543315100MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000654 MN Practitioner - Ophthalmology 7113930165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1993
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)

3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41463MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Jun 30, 1999 Accepting new patients

Locations

11855 Ulysses St NE
Ste 110
Blaine, MN 55434
Phone (763) 235-4104

3601 W 76th St
Fl 3
Edina, MN 55435

3601 W 76th St
Ste 325
Minneapolis, MN 55435
Phone (952) 929-1131

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

7760 France Ave S
Ste 310
Minneapolis, MN 55435
Phone (952) 897-1175

4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353

6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002

7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1497744924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355242",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355242",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEV",
        "first_name": "SUNDEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MN",
            "license": "41463",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "41463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543315100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.