Tareen Dermatology, P.A.
NPI 1063782621ActiveOrganization· Dermatology· Roseville, MN
Dermatology in Roseville, Minnesota, registered in NPPES in January 2012. The authorized official on file is Mohiba K. Tareen, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1063782621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2012 |
| Last updated in NPPES | Feb 5, 2026 |
| Certified by provider | Feb 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 54002 | MN |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (ND); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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