Active NPI
Paul Amos Dyrud, MD
- Vascular Surgery Physician
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 82943
- Practice address
- 14000 Fairview Dr
Burnsville, MN 55337-5713 - Phone
- (952) 993-8700
- NPI assigned
- Apr 11, 2018
- Last updated
- Aug 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 72469-20 | WI | |
| Vascular Surgery Physician | 2086S0129X | 82943 | MN | Primary |
Addresses
Primary practice location
14000 Fairview Dr
Burnsville, MN 55337-5713
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000
Other practice location 2
Medical College of Wisconsin Affiliated Hospitals, Inc.
8701 Watertown Plank Road
Milwaukee, WI 53226
Phone (414) 955-4575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100096281 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pdyrud360015@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Delafield St
Suite 209
Waukesha, WI 53188-3403
Phone (262) 542-0444
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72469-20 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Advanced Healthcare, Inc. | Surgery | Current | Accepting new patients |
| Waukesha Surgical Specialists, S.C. | Surgery | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
1640 E Sumner St
Hartford, WI 53027
Phone (262) 670-4000
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
1111 Delafield St
Ste 209
Waukesha, WI 53188
Phone (414) 542-0444
Organizations & group practices 3
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.
-
- Surgery Physician
- Waukesha, WI
- NPI 1295776649
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
dba ProHealth Pharmacy - Oconomowoc
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1811494230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 FAIRVIEW DR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553375713",
"telephone_number": "952-993-8700"
}
],
"practiceLocations": [
{
"address_1": "1640 E Sumner St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "WI",
"postal_code": "530272684",
"country_code": "US",
"telephone_number": "262-670-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Medical College of Wisconsin Affiliated Hospitals, Inc.",
"address_2": "8701 Watertown Plank Road",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53226",
"country_code": "US",
"telephone_number": "414-955-4575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYRUD",
"first_name": "PAUL",
"middle_name": "AMOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "72469-20",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MN",
"license": "82943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100096281",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pdyrud360015@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1640 E Sumner St",
"city": "Hartford",
"state": "WI",
"country_code": "US",
"postal_code": "530272684",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1640 E Sumner St",
"city": "Hartford",
"state": "WI",
"country_code": "US",
"postal_code": "530272684",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.