Individual provider Active NPI

Daniel Kevin Elieff, MD

  • Dermatology Physician
  • Saint Cloud, MN
National Provider Identifier
1891778163
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38413 Issued in MN
Practice address
1510 24TH Ave N
Saint Cloud, MN 56303-1304
Phone
(320) 259-0208
Fax
(320) 259-0715
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 38413 MN Primary

Addresses

Primary practice location

1510 24TH Ave N
Saint Cloud, MN 56303-1304

Mailing address

1510 24TH Ave N
Saint Cloud, MN 56303-1304
Phone (320) 259-0208

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
I20061005000225 MN Practitioner - Dermatology 8022014604 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1510 24TH Ave N
Saint Cloud, MN 56303-1304
Phone (320) 259-0208

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions84
Removal of skin cancer384
Removal or shaving of skin growth40
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Clinic of Dermatology Laser and Cosmetic Surgery PA Dermatology CurrentSince Sep 15, 1995 Accepting new patients

Locations

110 Voyager Dr
Alexandria, MN 56308
Phone (320) 762-0370

1510 24th Ave N
Saint Cloud, MN 56303
Phone (320) 259-0208

Interoperability endpoints

  • Direct secure messaging: delieff@mcdlcs.emadirect.md

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891778163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 24TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031304",
            "telephone_number": "320-259-0208",
            "fax_number": "320-259-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 24TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031304",
            "telephone_number": "320-259-0208",
            "fax_number": "320-259-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIEFF",
        "first_name": "DANIEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "38413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.