Active NPI
Chase Liaboe
- Ophthalmology Physician
- Bloomington, MN
National Provider Identifier
1992237952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 69183
- Practice address
- 9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200 - Phone
- (952) 888-5800
- Fax
- (952) 567-6156
- NPI assigned
- Mar 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 69183 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200
Mailing address
9801 Dupont Ave S Ste 425
Bloomington, MN 55431-3873
Phone (952) 567-6125
Other practice location 1
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
9801 Dupont Ave S
Suite 200
Bloomington, MN 55431-3200
Phone (952) 888-5800
Hospital & facility affiliations
- Abbott Northwestern Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.11 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 60.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 290 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69183 | MN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Minnesota Eye Consultants, PA | Ophthalmology | Current | Accepting new patients |
| Hennepin Healthcare System, Inc | Current | Accepting new patients |
Locations
11091 Ulysses St NE
Ste 300
Blaine, MN 55434
Phone (763) 421-9410
9801 DuPont Ave S
Ste 200
Minneapolis, MN 55431
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
9801 DuPont Ave S
Ste 425
Minneapolis, MN 55431
Phone (952) 567-6092
10709 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
7125 Tamarack Rd
Ste 100
Woodbury, MN 55125
Organizations & group practices 4
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.
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Ophthalmology Physician
- Bloomington, MN
- NPI 1508839879
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- Clinic/Center
- Minneapolis, MN
- NPI 1710313895
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1992237952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 DUPONT AVE S STE 425",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313873",
"telephone_number": "952-567-6125",
"fax_number": "952-567-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 DUPONT AVE S STE 200",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313200",
"telephone_number": "952-888-5800",
"fax_number": "952-567-6156"
}
],
"practiceLocations": [
{
"address_1": "701 Park Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIABOE",
"first_name": "CHASE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "69183",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.