Individual provider Active NPI

Duncan Ross Dickson, MD

  • Radiation Oncology Physician
  • Coon Rapids, MN
National Provider Identifier
1508858309
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
38155 Issued in MN
Practice address
11850 Blackfoot St NW Ste 150
Coon Rapids, MN 55433-2583
Phone
(763) 433-0221
Fax
(763) 433-0235
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 38155 MN Primary

Addresses

Primary practice location

11850 Blackfoot St NW Ste 150
Coon Rapids, MN 55433-2583

Mailing address

7401 Metro Blvd Ste 210
Edina, MN 55439-3086
Phone (952) 920-4915

Other identifiers 10

IdentifierTypeStateIssuer
2411697OtherMNMEDICA
9630701011182OtherMNPREFERRED ONE
2400004OtherMNMEDICA PRIMARY
32144900MedicaidWI
113022600MedicaidMN
7K034DIOtherMNBLUE CROSS/BLUE SHIELD
108922OtherMNCHOICE PLUS
109433OtherMNUCARE
25132OtherMNAMERICA'S PPO
HP17618OtherMNHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071110000149 MN Practitioner - Radiation Oncology 3072406552 Reassigns benefits to 1 organization
I20110603000140 WI Practitioner - Radiation Oncology 3072406552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneapolis Radiation Oncology PAGroup PAC ID 8527951094, 18 clinicians

Practice addresses (Care Compare)

501 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2950

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 920-8477

Hospital & facility affiliations

  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Radiation Oncology PA Radiation Oncology CurrentSince Jul 25, 1995 Accepting new patients
Mid-Minnesota Radiation Oncology, PA Radiation Oncology Past Accepting new patients

Locations

215 Ivy St
Brainerd, MN 56401
Phone (218) 828-7585

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

11850 Blackfoot St NW
Ste 150
Coon Rapids, MN 55433
Phone (763) 433-0221

4030 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (763) 433-0221

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

7401 Metro Blvd
Ste 210
Minneapolis, MN 55439
Phone (952) 920-4915

3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887

640 Jackson St
Stop 11202E
Saint Paul, MN 55101

1475 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2031

6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246

560 S Maple St
Ste 10
Waconia, MN 55387
Phone (952) 442-6000

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

501 Hospital Rd
New Richmond, WI 54017
Phone (715) 243-2950

Interoperability endpoints

  • Direct secure messaging: ddickson@mropa.direct.varian.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1508858309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393086",
            "telephone_number": "952-920-4915",
            "fax_number": "952-915-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 BLACKFOOT ST NW STE 150",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332583",
            "telephone_number": "763-433-0221",
            "fax_number": "763-433-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "DUNCAN",
        "middle_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "38155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2411697",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "9630701011182",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "2400004",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32144900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113022600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "7K034DI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE PLUS",
            "identifier": "108922",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "109433",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "25132",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP17618",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.