Gabriel Jerome Amon, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

77244 Issued in MN

Practice address

18315 Cascade Dr Ste 150
Eden Prairie, MN 55347-1185

Phone

(952) 934-7336

NPI assigned

Apr 6, 2020

Last updated

Jul 24, 2024By 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 1

Addresses

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

Specialty

Dermatology

Education

University of Minnesota Medical School, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Skin Care Specialists, PAGroup PAC ID 8921908047, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.79 of 100Reported as group

Quality

53.64

Promoting interoperability

100

Improvement activities

40

Cost

88.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gamon@associatedskincare.emadirect.md

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.

• Associated Skin Care Specialists, PA

  • Dermatology Physician
  • Coon Rapids, MN
  • NPI 1083659569
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1982233599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 14TH ST NW STE 240",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551120007",
            "telephone_number": "763-571-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 CASCADE DR STE 150",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471185",
            "telephone_number": "952-934-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMON",
        "first_name": "GABRIEL",
        "middle_name": "JEROME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "77244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Alvord, DC
• Amazing Homecare and Nursing Services,LLC
• Suresh Amble, MD
• Amal Amin
• Vinit Amin, M.D.
• Jonell C Amrhein
• Anchored Occupational Therapy, LLC
• Mary Margaret Andersen, APRN, CNS, MSN
• Sara Sue Andersen
• Amy Lou Anderson, OTR/L

• Dermatology Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.