DR. MICHAEL A DRYDEN MD
NPI 1720653074
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 20, 2021PECOS Enrolled
420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455(612) 625-6483 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2026, May 13, 2024, May 20, 2021 (3 updates tracked since 2021).

About Dr. Michael A Dryden Md NPPES

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

DR. MICHAEL A DRYDEN MD (NPI 1720653074) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2021).

NPPES Registry Identity

NPI1720653074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL A DRYDENCredential: MD
Location Address420 DELAWARE STREET SE, MMC 195Minneapolis, MN 55455
Mailing Address420 Delaware Street Se, Mmc 195Minneapolis, MN 55455 · (612) 625-6483
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2021
Enumeration DateMay 20, 2021
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1720653074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE STREET SE, Minneapolis, MN 55455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael A Dryden Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547662645
PECOS Enrollment IDI20251002002780
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.

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.

Internal Medicine
420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Pathology (Clinical Pathology/Laboratory Medicine)
420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING
MINNEAPOLIS, MN 55455
Pathology (Clinical Pathology/Laboratory Medicine)
420 DELAWARE STREET SE, ROOM 760 MAYO MEMORIAL BUILDING
MINNEAPOLIS, MN 55455
Anesthesiology
420 DELAWARE STREET SE, B515 MAYO MEMORIAL BUILDING, MMC 294
MINNEAPOLIS, MN 55455
General Acute Care Hospital
420 DELAWARE STREET SE, MAYO MAIL CODE 293
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284 14-100 PHILLIPS-WANGENSTEEN BLDG
MINNEAPOLIS, MN 55455
Clinical Medical Laboratory
420 DELAWARE STREET SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, PHILLIPS-WANGENSTEEN BUILDING 11-145E, MMC195
MINNEAPOLIS, MN 55455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720653074, enumerated as an "individual" on May 20, 2021.

The provider is located at 420 DELAWARE STREET SE MMC 195 MINNEAPOLIS, MN 55455 and the phone number is (612) 625-6483.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.