Individual provider Active NPI

Munir H Idriss, MD

  • MOHS-Micrographic Surgery Physician
  • Roseville, MN
National Provider Identifier
1750887444
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
82274 Issued in WI
Practice address
2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone
(651) 633-6883
Fax
(651) 331-3459
NPI assigned
Apr 2, 2018
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 66462 MN
MOHS-Micrographic Surgery Physician 207ND0101X 82274 WI Primary

Addresses

Primary practice location

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306

Mailing address

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone (651) 633-6883

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191029003069 MN Practitioner - Dermatology 4284969759 Reassigns benefits to 1 organization
I20230822003384 WI Practitioner - Micrographic Dermatologic Surgery (MDS) 4284969759 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Tareen Dermatology PAGroup PAC ID 8123288156, 45 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

2651 Hillcrest Dr
Suite 304
Hudson, WI 54016-9914
Phone (651) 633-6883

2720 Fairview Ave N
Suite 200
Roseville, MN 55113-1306
Phone (651) 633-6883

701 W Kalsched St
Marshfield, WI 54449-1334
Phone (715) 387-5511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of skin lesions1-10
Removal of skin cancer325
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82274WIMDMOHS-Micrographic Surgery Physician
29771MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tareen Dermatology, P.a. Dermatology CurrentSince Aug 4, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 14, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 14, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 14, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 14, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 14, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 14, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 14, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 14, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 14, 2023 Accepting new patients
Tareen Dermatology, PA Past Accepting new patients

Locations

1185 Town Centre Dr
Ste 101
Eagan, MN 55123
Phone (651) 209-3600

1575 20th St NW
Ste 201
Faribault, MN 55021

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

17305 Cedar Ave S
Ste 230
Lakeville, MN 55044
Phone (952) 435-4144

2945 Hazelwood St
Ste 230
Maplewood, MN 55109

9766 Fallon Ave NE
Ste 102
Monticello, MN 55362
Phone (763) 272-1500

2770 Fairview Ave N
Roseville, MN 55113

2720 Fairview Ave N
#200
Saint Paul, MN 55113
Phone (651) 663-6883

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

2651 Hillcrest Dr
Ste 304
Hudson, WI 54016

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1750887444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 FAIRVIEW AVE N STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131306",
            "telephone_number": "651-633-6883",
            "fax_number": "651-331-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 FAIRVIEW AVE N STE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131306",
            "telephone_number": "651-633-6883",
            "fax_number": "651-331-3459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDRISS",
        "first_name": "MUNIR",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "66462",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "82274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.