NORTH METRO DERMATOLOGY PLLC
NPI 1174863658
Specialist in North Oaks, MN
About North Metro Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH METRO DERMATOLOGY PLLC (NPI 1174863658) is a healthcare organization registered as a specialist in North Oaks, Minnesota and active in the NPI registry since February 2013. The organization holds a CLIA Certificate of Compliance certificate valid through February 15, 2028 and lists Anudeep Kaur Rahil, Physcian, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Metro Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to North Metro Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
North Oaks, MN 55127
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 24D2061348
North Metro Dermatology · North Oaks, MNFrequently 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 North Metro Dermatology PLLC's NPI number?
The NPI number for North Metro Dermatology PLLC is 1174863658. It was assigned to this organization in the NPPES registry on February 21, 2013.
Where is North Metro Dermatology PLLC located?
North Metro Dermatology PLLC is located at 400 Village Center Dr Suite 200, North Oaks, MN 55127. The listed phone number is (651) 789-9800.
What is North Metro Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is North Metro Dermatology PLLC enrolled in Medicare?
Yes. North Metro Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Metro Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to North Metro Dermatology PLLC, in Dermatology and Micrographic Dermatologic Surgery (MDS). A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does North Metro Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 24D2061348) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for North Metro Dermatology PLLC was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# North Metro Dermatology Pllc · NPI 1174863658
Specialist organization in North Oaks, Minnesota. Organization record, active in the CMS NPPES registry since February 21, 2013.
## Identity
- **NPI:** 1174863658 (Entity type: Organization)
- **Enumerated:** February 21, 2013
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Anudeep Rahil, PHYSCIAN
## Practice location
- **Address:** 400 VILLAGE CENTER DR, SUITE 200, North Oaks, MN 55127-7848
- **Phone:** (651) 789-9800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Micrographic Dermatologic Surgery (MDS) (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174863658) · Data from the CMS NPPES public registry.