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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELE BUONOMO MD
NPI 1689315814
Dermatology in Eden Prairie, MN

Active since April 03, 2022PECOS Enrolled
18315 CASCADE DR STE 150, EDEN PRAIRIE, MN 55347(763) 571-4000(952) 934-7488 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 25, 2026, Mar 28, 2023 (2 updates tracked since 2023).

About Michele Buonomo Md NPPES

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

MICHELE BUONOMO MD (NPI 1689315814) is an individual dermatology provider in Eden Prairie, Minnesota, licensed in Minnesota (82383) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maple Grove.

NPPES Registry Identity

NPI1689315814
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMICHELE BUONOMOCredential: MD
Location Address18315 CASCADE DR STE 150Eden Prairie, MN 55347-1185
Mailing Address119 14th St Nw Ste 240New Brighton, MN 55112-0007 · (763) 502-2937 · Fax (651) 631-1718
Phone(763) 571-4000
Fax(952) 934-7488
Sole ProprietorNo
Enumeration DateApril 3, 2022
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1689315814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MN · 82383
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
18315 CASCADE DR STE 150, Eden Prairie, MN 55347
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Secondary Practice Location 1

Location 19600 Upland Ln N Ste 250Maple Grove, MN 55369-4497 · Phone (763) 571-4000 · Fax (763) 416-2381

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Buonomo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55347 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIEL JEROME AMON MD
Dermatology
18315 CASCADE DR STE 150
EDEN PRAIRIE, MN 55347
Hennepin County (952) 934-7336

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 Michele Buonomo's NPI number?

The NPI number for Michele Buonomo is 1689315814. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Where is Michele Buonomo located?

Michele Buonomo practices at 18315 Cascade Dr Ste 150, Eden Prairie, MN 55347. The listed phone number is (763) 571-4000.

What is Michele Buonomo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michele Buonomo enrolled in Medicare?

Yes. Michele Buonomo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michele Buonomo was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.