SOHEIL Y. PAKZAD (M.D.) – Specialist, NPI 1417991787

SOHEIL Y. PAKZAD (M.D.) is a healthcare provider. based in Fridley, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 34521 (MN). The NPI Number for SOHEIL Y. PAKZAD (M.D.) is 1417991787

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
SOHEIL Y. PAKZAD (M.D.)
NPI
1417991787
Phone
(763) 571-4000
Address
7205 UNIVERSITY AVE NE
Enumeration Date
16 June 2006
Last Update Date
16 February 2011

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7635714000
Graduation Year
1990 (36 years ago)
PAC ID
3971404526
Group Practice PAC ID
8921908047
Professional Enrollment ID
I20110415000256
Address ID
MN554344264BL11107NEXX401
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 SOHEIL Y. PAKZAD (M.D.)

  • 7205, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    FRIDLEY, MN 554323134

    Phone: (763) 571-4000

    Fax: (763) 571-7202

    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)

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: 2011-04-15

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
I20110415000256IDermatologyMNTBD

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 growths997232$0
99213Established patient office or other outpatient visit, 20-29 minutes732577$0
17000Destruction of precancer skin growth, 1 growth416336$0
17110Destruction of skin growth, 1-14 growths413353$0
99214Established patient office or other outpatient visit, 30-39 minutes340303$0
View full utilization report →

Insurance plans in this area (ZIP 55432)

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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: 8921908047View full group profile
NameSpecialtyState
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
D E R M A T O L O G YMN
D E R M A T O L O G YMN
Dermatology, Micrographic Dermatologic Surgery (Mds)MN
Undefined Physician Type (Specify), DermatologyMN
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

Reviews

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Frequently asked questions

What is SOHEIL Y. PAKZAD (M.D.)'s NPI number?
SOHEIL Y. PAKZAD (M.D.)'s NPI is 1417991787 — the number used across U.S. healthcare to identify this provider.
Is SOHEIL Y. PAKZAD (M.D.) shown as active in public data?
Registry records indicate SOHEIL Y. PAKZAD (M.D.) maintains an active NPI.
What kind of doctor is SOHEIL Y. PAKZAD (M.D.)?
SOHEIL Y. PAKZAD (M.D.) is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SOHEIL Y. PAKZAD (M.D.)?
Travel planning: use Fridley, Minnesota as the reference point for SOHEIL Y. PAKZAD (M.D.), then confirm.
Does SOHEIL Y. PAKZAD (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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