Individual provider Active NPI

Katherine R Garrity, M.D.

  • Dermatology Physician
  • Woodbury, MN
National Provider Identifier
1891038907
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
62655-20 Issued in WI
Practice address
576 Bielenberg Dr Ste 200
Woodbury, MN 55125-1735
Phone
(262) 434-5000
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 62655-20 WI Primary

Addresses

Primary practice location

576 Bielenberg Dr Ste 200
Woodbury, MN 55125-1735

Mailing address

576 Bielenberg Dr Ste 200
Woodbury, MN 55125-1735
Phone (651) 578-2700

Other identifiers 1

IdentifierTypeStateIssuer
1891038907MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kgarrity86515@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 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
I20230113002581 MN Practitioner - Dermatology 3375761554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants, PAGroup PAC ID 1850295676, 23 clinicians

Practice addresses (Care Compare)

1215 Town Centre Dr
Suite 200
Eagan, MN 55123-1033
Phone (651) 251-3300

3555 Willow Lake Blvd
Suite 240
Vadnais Heights, MN 55110-5131
Phone (651) 770-0110

Merit-based Incentive Payment System (MIPS)

Final score
79.99 of 100Reported as group
Quality
61.48
Promoting interoperability
93
Improvement activities
40
Cost
77.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions403
Removal or shaving of skin growth38
Skin biopsy163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants, PA Dermatology CurrentSince Feb 1, 2023 Accepting new patients

Locations

60 Plato Blvd E
Ste 270
Saint Paul, MN 55107
Phone (651) 209-1600

3555 Willow Lake Blvd
Ste 240
Vadnais Heights, MN 55110
Phone (651) 770-0110

576 Bielenberg Dr
Ste 200
Woodbury, MN 55125
Phone (651) 209-1600

Interoperability endpoints

  • Direct secure messaging: kgarrity@dermcons.encitedirect.com

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1891038907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BIELENBERG DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251735",
            "telephone_number": "651-578-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BIELENBERG DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251735",
            "telephone_number": "262-434-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITY",
        "first_name": "KATHERINE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "62655-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891038907",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgarrity86515@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36500 Aurora Dr",
            "city": "Summit",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664899",
            "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": "36500 Aurora Dr",
            "city": "Summit",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.