DR. JAMES PATHOULAS MD
NPI 1972244051
Dermatology in Minneapolis, MN
About Dr. James Pathoulas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES PATHOULAS MD (NPI 1972244051) is an individual dermatology provider in Minneapolis, Minnesota, licensed in Minnesota (81540) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. James Pathoulas Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show James Pathoulas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 James Pathoulas's NPI number?
The NPI number for James Pathoulas is 1972244051. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is James Pathoulas located?
James Pathoulas practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.
What is James Pathoulas's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is James Pathoulas enrolled in Medicare?
Yes. James Pathoulas 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 James Pathoulas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Pathoulas reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Permanente Medical Group Inc (Stockton, CA). 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 James Pathoulas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Pathoulas accept?
Health plans from Sanford Health Plan list James Pathoulas 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.
When was this NPI record last updated?
The NPPES record for James Pathoulas was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. James Pathoulas, MD · NPI 1972244051
Dermatology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1972244051 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 81540 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 FULTON ST SE, Minneapolis, MN 55455-4800
- **Phone:** (612) 273-8383
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2022
## Record status
- **NPPES last updated:** October 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972244051) · Data from the CMS NPPES public registry.