DAVID A DASSENKO MD
NPI 1104865716
Anesthesiology - Critical Care Medicine in Minneapolis, MN

Q: 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.

Q: What is David Dassenko's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Q: 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.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6000 Get Directions Write a Review

NPPES record last updated: December 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1104865716

Entity TypeIndividualMale

Primary Taxonomy207LC0200X

Provider Legal NameDAVID A DASSENKOCredential: MD

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (763) 559-3779 · Fax (763) 450-3986

Phone(612) 813-6000

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1979

Enumeration DateJune 6, 2006

Last NPPES UpdateDecember 27, 2010

✔ NPI 1104865716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LC0200X

License✔ Licensed in MN · 25521

Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

2525 CHICAGO AVE, Minneapolis, MN 55404

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Other Identifiers 3

Medicare UPINA95915MN

Medicaid983267000MN

Medicare ID-Type Unspecified050001488MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8123081262

PECOS Enrollment IDI20041109000887

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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