Anastasios Angelo Pappas, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

41400 Issued in MN

Practice address

400 Selby Ave Ste S
Saint Paul, MN 55102-4520

Phone

(952) 373-4123

Fax

(651) 383-4947

NPI assigned

Jul 6, 2005

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, MN, MI3 enrollments

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 3

Specialty

Dermatology

Education

Sanford School of Medicine of University of South Dakota, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Skin Care Doctors PAGroup PAC ID 3870496474, 7 clinicians

Tareen Dermatology PAGroup PAC ID 8123288156, 45 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anastasios.pappas.1@18162.direct.athenahealth.com
• Direct secure messaging: apappas@scd.emadirect.md
• FHIR API: https://api.platform.athenahealth.com/18162/brand/1/csg/1/fhir/r4

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.

• Saint Paul Dermatology LTD

  • Dermatology Physician
  • Saint Paul, MN
  • NPI 1184114803
  Medicare reassignment NPD Authorized official
• Tareen Dermatology, P.a.

  • Dermatology Physician
  • Roseville, MN
  • NPI 1063782621

  WI

  Medicare reassignment Care Compare group NPD
• Skin Care Doctors, P.a.

  • Medical Specialty Clinic/Center
  • Burnsville, MN
  • NPI 1851516397
  Medicare reassignment Care Compare group
• Welia Health

  • Critical Access Hospital
  • Mora, MN
  • NPI 1528031390
  Medicare reassignment NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  MI

  Medicare reassignment
• Welia Health

  • Rural Health Clinic/Center
  • Pine City, MN
  • NPI 1992012207
  NPD
• Audrey Bruell, M.D. P.C.

  • Dermatology Physician
  • Livonia, MI
  • NPI 1306965983
  NPD
• Reese Surgical Group PLLC

  • Vascular Surgery Physician
  • Edina, MN
  • NPI 1972762631
  NPD (past)
• Tareen Dermatology, PA

  • Non-Pharmacy Dispensing Site
  • Faribault, MN
  • NPI 1215479530
  NPD (past)
• Dakota Dermatology at Spirit Lake PC

  dba Dakota Dermatology at Spirit Lake

  • Dermatology Physician
  • Spirit Lake, IA
  • NPI 1073287678
  NPD (past)
• Tareen Dermatology, P.a.

  • Non-Pharmacy Dispensing Site
  • Hudson, WI
  • NPI 1467381293
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1912904970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021709",
            "telephone_number": "513-548-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SELBY AVE STE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024520",
            "telephone_number": "952-373-4123",
            "fax_number": "651-383-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Northland Cir N Ste 119",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554281500",
            "country_code": "US",
            "telephone_number": "925-373-4123",
            "fax_number": "651-383-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "ANASTASIOS",
        "middle_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "51009",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SD",
            "license": "4426",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "41400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900330",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surabhi Pancholi, DDS
• Carmelo J Panetta
• Becky L Pansch, MT-BC
• Kari Erica Pantekoek, M.A. CCC-SLP
• Emma Panzer, CPO
• Holly Louise Paradis, M.A.
• Paragon Medical Inc.
• Mary Jean Cabanalan Paray, RN
• Adam David Pardo
• William M Parenteau, CRNA

• Dermatology Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.