DR. MICHAEL A DOLE (M.D.) – Family Medicine Physician, NPI 1669471900

DR. MICHAEL A DOLE (M.D.) is a healthcare provider. based in St louis park, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 29325 (MN). The NPI Number for DR. MICHAEL A DOLE (M.D.) is 1669471900

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL A DOLE (M.D.)
NPI
1669471900
Phone
(952) 924-1053
Address
3408 DAKOTA AVE S
Enumeration Date
19 July 2005
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6128633333
Graduation Year
1984 (42 years ago)
PAC ID
9537114426
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20150331002089

Contacts

Secure Messaging
mdole83801@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. MICHAEL A DOLE (M.D.)

  • 3408, Dakota Avenue South, Lenox, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554162312

    Phone: (952) 924-1053

    Fax: (952) 924-0254

    Type: Location

  • PO BOX 43

    MR 10809

    MINNEAPOLIS, MN 554400043

    Phone: (612) 262-4813

    Fax: (612) 262-4194

    Type: Mailing

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: 2015-03-31

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
I20150331002089IFamily PracticeMNTBD

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
97811Acupuncture, each additional 15 minutes50370$0
97810Acupuncture, initial 15 minutes30169$0
99215Established patient office or other outpatient visit, 40-54 minutes12984$0
97813Acupuncture with electrical stimulation, initial 15 minutes2912$0
97814Acupuncture with electrical stimulation, each additional 15 minutes2711$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. MICHAEL A DOLE (M.D.)'s NPI?
You can confirm DR. MICHAEL A DOLE (M.D.) with NPI 1669471900; it appears in the national provider directory.
Is DR. MICHAEL A DOLE (M.D.) active in the national directory?
DR. MICHAEL A DOLE (M.D.)'s public NPI profile is in an active state.
What does DR. MICHAEL A DOLE (M.D.) treat or focus on?
Patients typically see DR. MICHAEL A DOLE (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL A DOLE (M.D.)?
We surface St Louis Park, Minnesota for DR. MICHAEL A DOLE (M.D.) based on available NPPES addresses.
What if St Louis Park, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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