DR. MIMI CHO (M.D.) – Dermatology Physician, NPI 1063449957

DR. MIMI CHO (M.D.) is a healthcare provider. based in Edina, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 45945 (MN). The NPI Number for DR. MIMI CHO (M.D.) is 1063449957

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIMI CHO (M.D.)
NPI
1063449957
Phone
(952) 920-3808
Address
3316 W 66TH ST
Enumeration Date
27 June 2006
Last Update Date
25 September 2013

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9529203808
Graduation Year
1997 (29 years ago)
PAC ID
7315920931
Group Practice PAC ID
1456248137
Professional Enrollment ID
I20040612000266
Address ID
MN554352544ED3316XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

419 DERMATOLOGY in MN

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Provider Addresses for DR. MIMI CHO (M.D.)

  • West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55439, United States

    SUITE 200

    EDINA, MN 554352532

    Phone: (952) 920-3808

    Fax: (952) 920-8899

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $759.

Total Amount is formed as General ($759) + Research ($0) + Ownership ($0) = $759.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($66).

Total Amount

$759

General + Research + Ownership

Payments

42

Total payment records

General Amount

$759

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040612000266IDermatologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths600143$0
99214Established patient office or other outpatient visit, 30-39 minutes439318$0
17000Destruction of precancer skin growth, 1 growth265207$0
17110Destruction of skin growth, 1-14 growths184144$0
99213Established patient office or other outpatient visit, 20-29 minutes174141$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Provider's Procedures

DR. MIMI CHO (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMN11101Biopsy of each additional growth of skin and/or tissue3926

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456248137View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds)PA
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
P A T H O L O G YMN
-MN
D E R M A T O L O G YMN
-MN
D E R M A T O L O G YMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for DR. MIMI CHO (M.D.) in the U.S.?
In the U.S., DR. MIMI CHO (M.D.) is identified by NPI 1063449957.
Quick check: is DR. MIMI CHO (M.D.) active?
Public NPPES data shows DR. MIMI CHO (M.D.) with an active NPI status right now.
How should patients interpret DR. MIMI CHO (M.D.)'s specialty?
The extract shows Dermatology Physician for DR. MIMI CHO (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MIMI CHO (M.D.)?
DR. MIMI CHO (M.D.) shows a connection to Edina, Minnesota in registry-derived data.
Can I export DR. MIMI CHO (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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