Michael Emil Mollerus

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

43213 Issued in MN

Practice address

400 E 3Rd St
Duluth, MN 55805-1951

Phone

(218) 786-8364

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN, WI, ND3 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 3

Specialty

Cardiac ElectrophysiologyAlso: Internal Medicine

Education

University of California, San Francisco School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

St Marys Medical CenterGroup PAC ID 6901706357, 91 clinicians

St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health St Joseph'S Medical Center Hospital, Brainerd, MN, CCN 240075
• Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St Marys Medical Center

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1457393035
  Medicare reassignment Care Compare group NPD
• St. Joseph'S Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  Medicare reassignment Care Compare group NPD
• The Duluth Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1245278209

  WI

  Medicare reassignment Care Compare group NPD
• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment Care Compare group NPD
• Brainerd Medical Center Inc

  • General Practice Physician
  • Brainerd, MN
  • NPI 1295801777
  Medicare reassignment NPD
• Essentia Health Virginia, LLC

  • General Acute Care Hospital
  • Virginia, MN
  • NPI 1083617120
  Medicare reassignment NPD
• The Duluth Clinic LTD

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638
  Medicare reassignment NPD
• St. Mary'S Hospital of Superior

  • Critical Access Hospital
  • Superior, WI
  • NPI 1083657886
  Medicare reassignment NPD
• Brainerd Medical Center Inc.

  • Clinic Pharmacy
  • Staples, MN
  • NPI 1972350486
  NPD
• St Joseph'S Medical Center

  • Multi-Specialty Clinic/Center
  • Staples, MN
  • NPI 1538916101
  NPD
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pierz, MN
  • NPI 1568418861
  NPD
• St. Mary'S Medical Center

  • Clinic/Center
  • Duluth, MN
  • NPI 1821835851
  NPD

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

• St Marys Medical Center

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1457393035
  Care Compare affiliation
• St. Joseph'S Medical Center

  • General Practice Physician
  • Brainerd, MN
  • NPI 1184866956

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Anesthesiology Physician
  • Brainerd, MN
  • NPI 1336465038

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Crosslake, MN
  • NPI 1477509776

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Multi-Specialty Clinic/Center
  • Emily, MN
  • NPI 1538571914

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pierz, MN
  • NPI 1568418861

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pine River, MN
  • NPI 1649223603

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pequot Lakes, MN
  • NPI 1730134891

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brainerd, MN
  • NPI 1740393032

  Hospital

  Care Compare affiliation
• St. Joseph'S Medical Center

  • Primary Care Clinic/Center
  • Pillager, MN
  • NPI 1891740957

  Hospital

  Care Compare affiliation
• St. Marys Medical Center

  • Air Ambulance
  • Duluth, MN
  • NPI 1841359478

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1669402624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLERUS",
        "first_name": "MICHAEL",
        "middle_name": "EMIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "43213",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MN",
            "license": "43213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004995600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34060300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buruj Wali Mohammed, MD
• James N Mohn, MD MPH
• Alexandra Lillian Mohror
• Robert J Mohs, D.D.S.
• Claire Alexandra Moldenhauer, APRN, CNP
• Sue Ellen Mollner, MD
• Michael Carroll Momont, M.D.
• Kathleen Lynn Monaghan
• Erin Hawks Monahan, PA-C
• Kimberly Renee Moncel, ATC

• Clinical Cardiac Electrophysiology Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Cardiac Electrophysiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.

Verify at the official NPI Registry.