TARA KATHERINE DOYLE BIZILY MD
NPI 1962463737
Family Medicine in Minneapolis, MN
About Tara Katherine Doyle Bizily Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA KATHERINE DOYLE BIZILY MD (NPI 1962463737) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (47498) and active in the NPI registry since March 2006. She has opted out of Medicare through November 27, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tara Katherine Doyle Bizily Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 27, 2020 through November 27, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55403
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 Tara Doyle Bizily's NPI number?
The NPI number for Tara Doyle Bizily is 1962463737. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Tara Katherine Doyle MD.
Where is Tara Doyle Bizily located?
Tara Doyle Bizily practices at 1409 Willow St Ste 501, Minneapolis, MN 55403. The listed phone number is (612) 345-5029.
What is Tara Doyle Bizily's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tara Doyle Bizily enrolled in Medicare?
No. Tara Doyle Bizily has opted out of Medicare through November 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Tara Doyle Bizily was last updated on January 28, 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.
# Tara Katherine Doyle Bizily, MD · NPI 1962463737
Family Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1962463737 (Entity type: Individual)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 47498 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1409 WILLOW ST STE 501, Minneapolis, MN 55403-3288
- **Phone:** (612) 345-5029
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 27, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** January 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962463737) · Data from the CMS NPPES public registry.