Individual provider Active NPI

Elyse Henriette Scheuer, M.D.

  • Dermatology Physician
  • Minneapolis, MN
National Provider Identifier
1669581930
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
47369 Issued in MN
Practice address
275 Market St
Suite 215
Minneapolis, MN 55405-1627
Phone
(612) 746-4144
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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 47369 MN Primary

Addresses

Primary practice location

275 Market St
Suite 215
Minneapolis, MN 55405-1627

Mailing address

275 Market St Ste 215
Suite 215
Minneapolis, MN 55405-1623

Other identifiers 1

IdentifierTypeStateIssuer
296958100MedicaidMN

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
I20050610000740 MN Practitioner - Dermatology 8123062189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Market Street Dermatology PCGroup PAC ID 1658515069, 2 clinicians

Practice addresses (Care Compare)

275 Market St
Suite 215
Minneapolis, MN 55405-1623
Phone (612) 746-4144

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions425
Removal or shaving of skin growth1-10
Skin biopsy109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47369MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Market Street Dermatology, PC Dermatology CurrentSince Oct 8, 2013 Accepting new patients

Locations

275 Market St
Ste 215
Minneapolis, MN 55405
Phone (612) 584-1286

Interoperability endpoints

  • Direct secure messaging: escheuer@marketstderm.emadirect.md

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.

Hospital & facility affiliations 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1669581930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MARKET ST STE 215",
            "address_2": "SUITE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARKET ST",
            "address_2": "SUITE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051627",
            "telephone_number": "612-746-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEUER",
        "first_name": "ELYSE",
        "middle_name": "HENRIETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "47369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296958100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.