DR. RICHARD H THOLEN MD
NPI 1104893643
Plastic Surgery in Minneapolis, MN
About Dr. Richard H Tholen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD H THOLEN MD (NPI 1104893643) is an individual plastic surgery provider in Minneapolis, Minnesota, licensed in Minnesota (026478) and active in the NPI registry since March 2006. He has opted out of Medicare through December 15, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Richard H Tholen Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2015 through December 15, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDEN VALLEY, MN 55422
MINNEAPOLIS, MN 55422
MINNEAPOLIS, MN 55422
GOLDEN VALLEY, MN 55422
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 Richard Tholen's NPI number?
The NPI number for Richard Tholen is 1104893643. It was assigned to this individual provider in the NPPES registry on March 3, 2006.
Where is Richard Tholen located?
Richard Tholen practices at 4825 Olson Memorial Hwy Suite 200, Minneapolis, MN 55422. The listed phone number is (763) 545-0443.
What is Richard Tholen's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Richard Tholen enrolled in Medicare?
No. Richard Tholen has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Richard Tholen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Dr. Richard H Tholen, MD · NPI 1104893643
Plastic Surgery physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 3, 2006.
## Identity
- **NPI:** 1104893643 (Entity type: Individual)
- **Enumerated:** March 3, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 026478 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4825 OLSON MEMORIAL HWY, SUITE 200, Minneapolis, MN 55422
- **Phone:** (763) 545-0443 · **Fax:** (763) 545-2784
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 15, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Other 00836TH (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104893643) · Data from the CMS NPPES public registry.