Individual provider Active NPI

Barry A Labine, MD

  • Dermatology Physician
  • Sartell, MN
National Provider Identifier
1780686592
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35729 Issued in MN
Practice address
161 19TH St S Ste 106
Sartell, MN 56377-2555
Phone
(320) 252-3376
Fax
(320) 288-2701
NPI assigned
Aug 11, 2005
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 35729 MN Primary

Addresses

Primary practice location

161 19TH St S Ste 106
Sartell, MN 56377-2555

Mailing address

161 19TH St S Ste 106
Sartell, MN 56377-2555
Phone (320) 252-3376

Other identifiers 11

IdentifierTypeStateIssuer
167075100MedicaidMN
117106OtherU CARE
2114100OtherFIRST HEALTH PLAN
39A76LAOtherBLUE CROSS BLUE SHIELD
167075100OtherMEDICAL ASSISTANCE
596562OtherARAZ GROUP/AMERICAS PPO
1013504OtherPREFERRED ONE
P00072851OtherRR MEDICARE
0300313OtherMEDICA HEALTH PLANS
CU0204OtherRR MEDICARE
HP16582OtherHEALTH PARTNERS

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
I20040102000171 MN Practitioner - Dermatology 3971402637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Small Holdings PAGroup PAC ID 4981133238, 4 clinicians

Practice addresses (Care Compare)

161 19TH St S
Suite 106
Sartell, MN 56377-2555
Phone (320) 558-3396

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision90
Removal of skin lesions734
Removal of skin cancer179
Removal or shaving of skin growth20
Skin biopsy218

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Small Holdings PA Dermatology CurrentSince Feb 15, 2025 Accepting new patients
Lakewood Health System CurrentSince Jun 18, 2017 Accepting new patients
Lakewood Health System CurrentSince Mar 1, 2012 Accepting new patients
Lakewood Health System CurrentSince Mar 1, 2012 Accepting new patients
Lakewood Health System Current Accepting new patients
Reese Surgical Group PLLC PastSince Feb 6, 2008 Accepting new patients

Locations

161 19th St S
Ste 106
Sartell, MN 56377
Phone (320) 252-3376

2251 Connecticut Ave S
Ste 3800
Sartell, MN 56377
Phone (320) 252-3376

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1780686592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 19TH ST S STE 106",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772555",
            "telephone_number": "320-252-3376",
            "fax_number": "320-288-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 19TH ST S STE 106",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772555",
            "telephone_number": "320-252-3376",
            "fax_number": "320-288-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABINE",
        "first_name": "BARRY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "35729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167075100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "117106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PLAN",
            "identifier": "2114100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39A76LA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "167075100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ GROUP/AMERICAS PPO",
            "identifier": "596562",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1013504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00072851",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTH PLANS",
            "identifier": "0300313",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CU0204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP16582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.