Active NPI
James Theodore Dorrian, MD
- Dermatology Physician
- Saint Paul, MN
National Provider Identifier
1548503576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 63681
- Practice address
- 1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109 - Phone
- (651) 241-9700
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | AA5343695 | NY | |
| Dermatology Physician | 207N00000X | 63681 | MN | Primary |
Addresses
Primary practice location
1021 Bandana Blvd E Ste 100
Saint Paul, MN 55108-5109
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000
Other practice location 1
1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 590-1800
Other practice location 2
701 Park Ave
Hennepin County Medical Center
Minneapolis, MN 55415-1623
Phone (952) 807-7659
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdorrian198115@excellian.direct.allina.com | Direct |
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
- Dermatology
- Education
- University of Minnesota Medical School, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1575 20TH St NW
Suite 201
Faribault, MN 55021-2933
Phone (651) 633-6883
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 46 |
| Removal of skin lesions | 355 |
| Removal or shaving of skin growth | 13 |
| Skin biopsy | 204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63681 | MN | MD | Dermatology Physician |
| AA5343695 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients | |
| Tareen Dermatology, PA | Past | Accepting new patients |
Interoperability endpoints
- jdorrian198115@excellian.direct.allina.com
Organizations & group practices 3
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.
-
- Dermatology Physician
- Roseville, MN
- NPI 1063782621
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
-
- Non-Pharmacy Dispensing Site
- Maplewood, MN
- NPI 1851856504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1548503576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 BANDANA BLVD E STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085109",
"telephone_number": "651-241-9700"
}
],
"practiceLocations": [
{
"address_1": "1650 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104577606",
"country_code": "US",
"telephone_number": "718-590-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Park Ave",
"address_2": "Hennepin County Medical Center",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "952-807-7659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORRIAN",
"first_name": "JAMES",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "AA5343695",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "63681",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdorrian198115@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "1021 Bandana Blvd E Ste 100",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551085109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.