Active NPI
Valda Noreen Kaye, M.D.
- Dermatopathology (Pathology) Physician
- Plymouth, MN
National Provider Identifier
1841293701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 28050
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742780800 | Medicaid | MN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28050 | MN | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Specialists, PA | Dermatology | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.