Individual provider Active NPI

Erin Leigh Luxenberg Hammer, M.D.

  • Dermatology Physician
  • Minneapolis, MN
National Provider Identifier
1750600565
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
55702 Issued in MN
Practice address
516 Delaware St SE
MMC 98
Minneapolis, MN 55455-0356
Phone
(612) 625-8625
Fax
(612) 624-6678
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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 55702 MN Primary

Addresses

Primary practice location

516 Delaware St SE
MMC 98
Minneapolis, MN 55455-0356

Mailing address

516 Delaware St SE
MMC 98
Minneapolis, MN 55455-0356
Phone (612) 625-8625

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
I20130925000503 MN Practitioner - DermatologyPractitioner - Internal Medicine 7315181799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Skin Care Specialists, PAGroup PAC ID 8921908047, 18 clinicians

Practice addresses (Care Compare)

18315 Cascade Dr
Suite 150
Eden Prairie, MN 55347-1185
Phone (763) 571-4000

Merit-based Incentive Payment System (MIPS)

Final score
82.79 of 100Reported as group
Quality
53.64
Promoting interoperability
100
Improvement activities
40
Cost
88.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions506
Skin biopsy168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55702MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Skin Care Specialists, PA Dermatology CurrentSince Apr 11, 2022 Accepting new patients
Sunu Linden Hills PLLC PastSince Apr 11, 2022 Accepting new patients

Locations

18315 Cascade Dr
Ste 150
Eden Prairie, MN 55347
Phone (763) 571-4000

500 Osborne Rd NE
Ste 330
Fridley, MN 55432
Phone (763) 571-4000

4279 Sheridan Ave S
Minneapolis, MN 55410
Phone (612) 767-4680

119 14th St NW
Ste 240
Saint Paul, MN 55112

Interoperability endpoints

  • Direct secure messaging: eluxenberg@associatedskincare.emadirect.md

Organizations & group practices 2

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1750600565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 DELAWARE ST SE",
            "address_2": "MMC 98",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550356",
            "telephone_number": "612-625-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DELAWARE ST SE",
            "address_2": "MMC 98",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550356",
            "telephone_number": "612-625-8625",
            "fax_number": "612-624-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUXENBERG HAMMER",
        "first_name": "ERIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "55702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.