Individual provider Active NPI

Valda Noreen Kaye, M.D.

  • Dermatopathology (Pathology) Physician
  • Plymouth, MN
National Provider Identifier
1841293701
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
28050 Issued in MN
Practice address
9900 13TH Avenue North
Suite 2a
Plymouth, MN 55441-5035
Phone
(763) 525-0363
Fax
(763) 525-0369
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 28050 MN
Dermatopathology (Pathology) Physician 207ZD0900X 28050 MN Primary
Anatomic Pathology Physician 207ZP0101X 28050 MN

Addresses

Primary practice location

9900 13TH Avenue North
Suite 2a
Plymouth, MN 55441-5035

Mailing address

9900 13TH Avenue North
Suite 2a
Plymouth, MN 55441-5035
Phone (763) 525-0363

Other identifiers 1

IdentifierTypeStateIssuer
742780800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28050MNMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists, PA Dermatology CurrentSince Aug 1, 2014 Accepting new patients

Locations

3316 W 66th St
Edina, MN 55435
Phone (952) 920-3808

3316 W 66th St
Ste 200
Minneapolis, MN 55435
Phone (612) 920-3808

Organizations & group practices 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1841293701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 13TH AVENUE NORTH",
            "address_2": "SUITE 2A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415035",
            "telephone_number": "763-525-0363",
            "fax_number": "763-525-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 13TH AVENUE NORTH",
            "address_2": "SUITE 2A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415035",
            "telephone_number": "763-525-0363",
            "fax_number": "763-525-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "VALDA",
        "middle_name": "NOREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "28050",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MN",
            "license": "28050",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MN",
            "license": "28050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "742780800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.