DR. DARA D KOOZEKANANI M.D., PH.D.
NPI 1265497556
Ophthalmology in Minneapolis, MN

Q: What is Dara Koozekanani's NPI number?

The NPI number for Dara Koozekanani is 1265497556. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Dara Koozekanani's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Dara Koozekanani was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 19, 2006PECOS EnrolledAccepts Medicare Assignment

420 DELAWARE ST SE, MMC 493, MINNEAPOLIS, MN 55455(612) 625-9600(612) 625-3693 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Dara D Koozekanani M.d., Ph.d. NPPES

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

DR. DARA D KOOZEKANANI M.D., PH.D. (NPI 1265497556) is an individual ophthalmology provider in Minneapolis, Minnesota, licensed in Wisconsin (50244) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1265497556

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DARA D KOOZEKANANICredential: M.D., PH.D.

Location Address420 DELAWARE ST SE, MMC 493Minneapolis, MN 55455-0341

Mailing Address1314 Marquette Ave, Apt 1907Minneapolis, MN 55403-4111 · (612) 605-2437 · Fax (612) 234-4664

Phone(612) 625-9600

Fax(612) 625-3693

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2003

Enumeration DateApril 19, 2006

Last NPPES UpdateJune 10, 2021

NPPES CertifiedJune 10, 2021

✔ NPI 1265497556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in WI · 50244✔ Licensed in MN · 51736

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

420 DELAWARE ST SE, Minneapolis, MN 55455

Open in Google Maps ↗

Secondary Practice Location 1

Location 13900 Park Nicollet BlvdSt Louis Park, MN 55416-2505 · Phone (952) 993-3150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

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

Dr. Dara D Koozekanani M.d., Ph.d. 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 ID6305945783

PECOS Enrollment IDI20090914000533

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.

Medicare Billing Reassignments

Medicare enrollment records show Dara Koozekanani reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Minnesota Physicians

0.3 mi

Multi-Specialty

720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414

Reassigned Medicare billing, Minnesota enrollment
1,453 clinicians in this Medicare group

NPI 1477598118 (612) 672-7422

Fairview Express Care

0.4 mi

Cardiovascular Disease

909 FULTON ST SE
Minneapolis, MN 55455

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1629224258 (612) 625-3600

University Of Minnesota Health Clinics And Surgery Center Inc

0.4 mi

Anesthesiology

909 FULTON ST SE
Minneapolis, MN 55455

Reassigned Medicare billing, Minnesota enrollment
1,662 clinicians in this Medicare group

NPI 1003485004 (612) 273-8383

Fairview Health Services

0.5 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

Fairview Specialty Services

0.5 mi

Physical Therapy

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
2,373 clinicians in this Medicare group

NPI 1043199334 (855) 324-7843

Park Nicollet Clinic

2.1 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

6,360 services20 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

487 services265 patients

Imaging of retina 92134

403 services144 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

226 services192 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

212 services51 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

212 services118 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

172 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

146 services100 patients

Injection of drug into eye 67028

124 services42 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

63 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

39 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

1d and 2d ultrasound scan of eye tissue and structures 76510

A 1D and 2D ultrasound scan of the eye is a non-invasive process that uses sound waves to create images of the eye's inner structures. This helps in detecting abnormalities or issues in the eye tissue. The procedure is safe, quick, and painless.

26 services23 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

25 services18 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

17 services16 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240207

Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KHALID AMIN MD

Pathology (Anatomic Pathology & Clinical Pathology)

420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455

Hennepin County (913) 827-3505

MELISSA RICHARDSON PA-C

Physician Assistant

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 273-3000

DR. RAID SAID MOUSA YOUSEF M.D.

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-7911

DR. DAVID YOUNG BALSER MD

Physical Medicine & Rehabilitation

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-2661

ALEXANDER TROESTER

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-6483

NIKITHA VOBUGARI MD

Internal Medicine (Hematology & Oncology)

420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455

Hennepin County (612) 626-0400

THOMAS HOUGHLAND MD

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 626-5589

DR. ANUSHA L GOPALAM MD

Student in an Organized Health Care Education/Training Program

420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-5454

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 Dara Koozekanani's NPI number?

The NPI number for Dara Koozekanani is 1265497556. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Dara Koozekanani located?

Dara Koozekanani practices at 420 Delaware St SE Mmc 493, Minneapolis, MN 55455. The listed phone number is (612) 625-9600.

What is Dara Koozekanani's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Dara Koozekanani enrolled in Medicare?

Yes. Dara Koozekanani 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 Dara Koozekanani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dara Koozekanani reassigns Medicare benefits to 6 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and 1 more organization, listed in the Medicare section above. 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 Dara Koozekanani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dara Koozekanani accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Dara Koozekanani 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.

Is Dara Koozekanani affiliated with any hospitals?

According to CMS data, Dara Koozekanani is affiliated with Abbott Northwestern Hospital, M Health Fairview University Of Mn and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Dara Koozekanani was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.