Michele Buonomo, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

82383 Issued in MN

Practice address

18315 Cascade Dr Ste 150
Eden Prairie, MN 55347-1185

Phone

(763) 571-4000

Fax

(952) 934-7488

NPI assigned

Apr 3, 2022

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1689315814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 14TH ST NW STE 240",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551120007",
            "telephone_number": "763-502-2937",
            "fax_number": "651-631-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR STE 150",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471185",
            "telephone_number": "763-571-4000",
            "fax_number": "952-934-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Upland Ln N Ste 250",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694497",
            "country_code": "US",
            "telephone_number": "763-571-4000",
            "fax_number": "763-416-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONOMO",
        "first_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "82383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Brown
• Bruce Merry DDS, PLLC
• Kaitlin Brunner, MASSAGE THERAPY
• Takima Bryant, NP
• Kadie Jo Budahn
• Christin Burgess
• Brian Burgoyne, MD
• Sophia Kathleen Bussier
• Tabitha Butler
• Emily M Butz

• Dermatology Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.