DAVID A DASSENKO MD
NPI 1104865716
Anesthesiology - Critical Care Medicine in Minneapolis, MN
About David A Dassenko Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID A DASSENKO MD (NPI 1104865716) is an individual critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (25521) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1979).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David A Dassenko Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show David Dassenko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
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 David Dassenko's NPI number?
The NPI number for David Dassenko is 1104865716. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is David Dassenko located?
David Dassenko practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 813-6000.
What is David Dassenko's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.
Is David Dassenko enrolled in Medicare?
Yes. David Dassenko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for David Dassenko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Dassenko reassigns Medicare benefits to 2 organizations: Childrens Health Care (Minneapolis, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Dassenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Dassenko was last updated on December 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# David A Dassenko, MD · NPI 1104865716
Critical Care Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1104865716 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Anesthesiology - Critical Care Medicine · taxonomy 207LC0200X
- **State license:** 25521 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 CHICAGO AVE, Minneapolis, MN 55404-4518
- **Phone:** (612) 813-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Childrens Health Care (NPI 1053410928, Minneapolis, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 1979
## Record status
- **NPPES last updated:** December 27, 2010
- **Other identifiers:** Medicare UPIN A95915 (MN); Medicaid 983267000 (MN); Medicare ID-Type Unspecified 050001488 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104865716) · Data from the CMS NPPES public registry.