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TAREEN DERMATOLOGY, P.A.
NPI 1063782621
Dermatology in Roseville, MN

Active since January 12, 2012CLIA Certified · 11 labs
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113(651) 633-6883(651) 528-6276 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 5, 2026, Dec 17, 2020 (2 updates tracked since 2020).

About Tareen Dermatology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAREEN DERMATOLOGY, P.A. (NPI 1063782621) is a healthcare organization registered as a dermatology in Roseville, Minnesota and active in the NPI registry since January 2012. The organization holds 11 active CLIA laboratory certificates and lists Mohiba K Tareen, Owner, as its authorized official.

NPPES Registry Identity

NPI1063782621
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTAREEN DERMATOLOGY, P.A.
Location Address2720 FAIRVIEW AVE N STE 200Roseville, MN 55113-1306
Mailing Address2720 Fairview Ave N Ste 200Roseville, MN 55113-1306 · (651) 633-6883 · Fax (651) 528-6276
Phone(651) 633-6883
Fax(651) 528-6276
Organization SubpartNo
Authorized OfficialMohiba K TareenOwner · (734) 546-1760
Enumeration DateJanuary 12, 2012
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1063782621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MN · 54002
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
2720 FAIRVIEW AVE N STE 200, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 11

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D2288029

Tareen Dermatology · Hudson, WI
Active · expires May 20, 2028
CLIA Number52D2288029
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorDr. Ryan Holzwarth
Laboratory Phone(651) 633-6883
Laboratory LocationTareen Dermatology2651 Hillcrest Dr, Ste 304, Hudson, WI 54016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 52D2250885

Tareen Dermatology · Eau Claire, WI
Active · expires Apr 10, 2028
CLIA Number52D2250885
Laboratory TypePractitioner Other
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDr. Andrew R. Virata
Laboratory Phone(651) 633-6883
Laboratory LocationTareen Dermatology7021 West Lowes Creek Road Suite A, Eau Claire, WI 54701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 24D2320327

Tareen Dermatology · Lindstrom, MN
Active · expires Apr 1, 2028
CLIA Number24D2320327
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorAnastasios A. Pappas
Laboratory Phone(651) 633-6883
Laboratory LocationTareen Dermatology12375 Lindstrom Lane 2nd Floor, Lindstrom, MN 55045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 24D2317271

Tareen Dermatology · Lakeville, MN
Active · expires Feb 23, 2028
CLIA Number24D2317271
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorAndrew R. Virata
Laboratory Phone(651) 633-6883
Laboratory LocationTareen Dermatology17305 Cedar Ave S Ste 230, Lakeville, MN 55044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 24D2333376

Tareen Dermatology · Sandstone, MN
Active · expires Nov 3, 2027
CLIA Number24D2333376
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorMohiba Tareen
Laboratory Phone(651) 633-6883
Laboratory LocationTareen Dermatology707 Lundorff Drive Suite 1 First Floor, Sandstone, MN 55072
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 24D0995364

Tareen Dermatology · Eagan, MN
Active · expires Jun 25, 2027
CLIA Number24D0995364
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorJames Dorrian
Laboratory Phone(651) 633-6883
Laboratory LocationTareen Dermatology1185 Town Center Drive #101, Eagan, MN 55123
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES ALBERT RAMIREZ M.D.
Pathology (Dermatopathology)
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
CARLY JO HENNEK PA-C
Physician Assistant
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
AUSTIN JAMES HENEMAN PA-C
Physician Assistant
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
KELSEY KATHLEEN STRUB
Physician Assistant
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (952) 452-6503
ASHLEY DAVIS
Physician Assistant
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
DR. AAYUSHMA REGMI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
KATELYN M LANGLIE PA-C
Physician Assistant (Medical)
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
WAEL S IBRAHIM MD
Pathology (Dermatopathology)
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tareen Dermatology, P.A.'s NPI number?

The NPI number for Tareen Dermatology, P.A. is 1063782621. It was assigned to this organization in the NPPES registry on January 12, 2012.

Where is Tareen Dermatology, P.A. located?

Tareen Dermatology, P.A. is located at 2720 Fairview Ave N Ste 200, Roseville, MN 55113. The listed phone number is (651) 633-6883.

What is Tareen Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Tareen Dermatology, P.A. hold CLIA laboratory certificates?

Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Tareen Dermatology, P.A. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Tareen Dermatology, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tareen Dermatology, P.A. was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.