Individual provider Active NPI

Robert James Zabel, D.O.

  • Dermatology Physician
  • Lakeville, MN
National Provider Identifier
1649248162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
46910 Issued in MN
Practice address
20520 Keokuk Ave
Suite 104
Lakeville, MN 55044-6002
Phone
(952) 469-5033
Fax
(952) 469-5069
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 46910 MN Primary

Addresses

Primary practice location

20520 Keokuk Ave
Suite 104
Lakeville, MN 55044-6002

Mailing address

20520 Keokuk Ave
Suite 104
Lakeville, MN 55044-6002
Phone (952) 469-5033

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
I20040715000788 MN Practitioner - Dermatology 9133108921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Minnesota LLCGroup PAC ID 9830196575, 4 clinicians

Practice addresses (Care Compare)

20520 Keokuk Ave
Suite 104
Lakeville, MN 55044-6085
Phone (952) 469-5033

2718 Ekko Ave
Albert Lea, MN 56007-2070
Phone (507) 373-2270

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
72.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of skin lesions559
Removal of skin cancer131
Removal or shaving of skin growth18
Skin biopsy173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46910MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Minnesota, LLC Dermatology CurrentSince Nov 15, 2024 Accepting new patients
Reese Surgical Group PLLC PastSince Feb 6, 2008 Accepting new patients
Advanced Dermatology of Pennsylvania, PC Dermatology PastSince Jul 28, 2015 Accepting new patients
Andrew K Pollack Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2718 Ekko Ave
Albert Lea, MN 56007
Phone (507) 373-2270

20520 Keokuk Ave
Ste 104
Lakeville, MN 55044
Phone (952) 469-5033

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: robert.zabel@epiphanyderm.emadirect.md

Organizations & group practices 5

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649248162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20520 KEOKUK AVE",
            "address_2": "SUITE 104",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446002",
            "telephone_number": "952-469-5033",
            "fax_number": "952-469-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20520 KEOKUK AVE",
            "address_2": "SUITE 104",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446002",
            "telephone_number": "952-469-5033",
            "fax_number": "952-469-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABEL",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "46910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.