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DR. HANY DEIRAWAN M.D.
NPI 1366804569
Dermatology - MOHS-Micrographic Surgery in Bismarck, ND

Active since March 26, 2016PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
2700 STATE ST, BISMARCK, ND 58503(701) 712-4500 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2025, Jul 23, 2024, Jul 10, 2023 and 8 more (11 updates tracked since 2016).

About Dr. Hany Deirawan M.d. NPPES

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

DR. HANY DEIRAWAN M.D. (NPI 1366804569) is an individual mohs-micrographic surgery provider in Bismarck, North Dakota, licensed in North Dakota (22431) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1366804569
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. HANY DEIRAWANCredential: M.D.
Location Address2700 STATE STBismarck, ND 58503-0669
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(701) 712-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 26, 2016
Last NPPES UpdateOctober 9, 202511 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1366804569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in ND · 22431
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 22431 (ND)
2700 STATE ST, Bismarck, ND 58503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, CareSource and more.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. Hany Deirawan M.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 ID4981997681
PECOS Enrollment IDI20250819000097, I20250825001622, I20251104003876
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

6

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

Innovis Health, LLC
Same address
Multi-Specialty
2700 STATE ST
Bismarck, ND 58503
  • Reassigned Medicare billing, North Dakota enrollment
  • 617 clinicians in this Medicare group
NPI 1770201766 (701) 712-4500
Avera Mckennan
172 mi
Multi-Specialty
100 MAC LN
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1780829283 (605) 224-5901
Soderstrom Dermatology Center S C
697 mi
Dermatology
4909 N GLEN PARK PLACE RD
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 31 clinicians in this Medicare group
NPI 1710931670 (309) 674-7546
Oklahoma Cancer Specialists And Research Institute LLC
739 mi
Hematology & Oncology
3470 E FRANK PHILLIPS BLVD
Bartlesville, OK 74006
  • Reassigned Medicare billing, Oklahoma enrollment
  • 67 clinicians in this Medicare group
NPI 1215301346 (918) 331-1760
Dermatology Specialists Of Ann Arbor, PLLC
898 mi
Dermatology
4200 WHITEHALL DR STE 250
Ann Arbor, MI 48105
  • Reassigned Medicare billing, Michigan enrollment
  • 11 clinicians in this Medicare group
NPI 1689306680 (734) 677-3376
S L Husain Hamzavi MD PC
922 mi
Dermatology
43151 DALCOMA DR, SUITE 5
Clinton Twp, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
NPI 1407943962 (586) 286-8720

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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
42 services16 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.
24 services20 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.
20 services18 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
16 services13 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.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58503 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

KAYLA COFER NURSE PRACTITIONER
Nurse Practitioner
2700 STATE ST
BISMARCK, ND 58503
Burleigh County (701) 712-4520
BRANDI L CLARK APRN,CNP
Nurse Practitioner (Family)
2700 STATE ST
BISMARCK, ND 58503
Burleigh County (701) 712-4500
ASHLEE HAMANN
Nurse Practitioner (Primary Care)
2700 STATE ST
BISMARCK, ND 58503
Burleigh County (701) 712-4501
PRESTON SCHAFFNER PA-C
Physician Assistant (Medical)
2700 STATE ST
BISMARCK, ND 58503
Burleigh County (701) 221-9152
MARY AMBER JEPPSON APRN
Nurse Practitioner (Pediatrics)
2700 STATE ST
BISMARCK, ND 58503
Burleigh County (701) 712-4500
KIMBERLY C IVERSON RN
Registered Nurse (General Practice)
2700 STATE ST
BISMARCK, ND 58503
Burleigh County (701) 221-9152
AMANDA LEVEY FNP
Nurse Practitioner
2700 STATE ST
BISMARCK, ND 58503
Burleigh County (701) 221-9152
HERITAGE PHARMACY GATEWAY MALL INC
Pharmacy (Community/Retail Pharmacy)
2700 STATE ST, STE F13
BISMARCK, ND 58503
Burleigh County (701) 530-5800

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 Hany Deirawan's NPI number?

The NPI number for Hany Deirawan is 1366804569. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Hany Deirawan located?

Hany Deirawan practices at 2700 State St, Bismarck, ND 58503. The listed phone number is (701) 712-4500.

What is Hany Deirawan's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Hany Deirawan enrolled in Medicare?

Yes. Hany Deirawan 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 Hany Deirawan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hany Deirawan reassigns Medicare benefits to 6 organizations: Innovis Health, LLC (Bismarck, ND), Avera Mckennan (Pierre, SD), Soderstrom Dermatology Center S C (Peoria, IL), Oklahoma Cancer Specialists And Research Institute LLC (Bartlesville, OK), Dermatology Specialists Of Ann Arbor, PLLC (Ann Arbor, MI) 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 Hany Deirawan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hany Deirawan accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, CareSource, Mending Health and Sanford Health Plan and 2 other insurers list Hany Deirawan 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 Hany Deirawan affiliated with any hospitals?

According to CMS data, Hany Deirawan is affiliated with Essentia Health and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Hany Deirawan was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.