DR. DARA D KOOZEKANANI (M.D., PH.D.) – Ophthalmology Physician, NPI 1265497556
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
415 OPHTHALMOLOGY in MN
Provider Addresses for DR. DARA D KOOZEKANANI (M.D., PH.D.)
3900 Park Nicollet Blvd
St Louis Park, MN 554162505
Phone: (952) 993-3150
Type: Location
Marquette Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55401, United States
APT 1907
MINNEAPOLIS, MN 554034111
Phone: (612) 605-2437
Fax: (612) 234-4664
Type: Mailing
Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States
MMC 493
MINNEAPOLIS, MN 554550341
Phone: (612) 625-9600
Fax: (612) 625-3693
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090914000533 | I | Ophthalmology | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 5,820 | 19 | $0 |
| 92134 | Imaging of retina | 934 | 402 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 467 | 254 | $0 |
| 67028 | Injection of drug into eye | 375 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 197 | 163 | $0 |
Insurance plans in this area (ZIP 55416)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | MN | 92134 | Diagnostic imaging of retina | 336 | 174 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Family Practice | WA | |
| Family Practice | MN | |
| Family Practice | MN | |
| N E U R O L O G Y | MN | |
| Physician Assistant | IA | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | MN | |
| - | MN | |
| Family Practice | MN |
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