DR. MOHIBA K TAREEN (MD) – Dermatology Physician, NPI 1740448117
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
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Provider Addresses for DR. MOHIBA K TAREEN (MD)
County Road C, Roseville, Ramsey County, Minnesota, 55113, United States
250
ROSEVILLE, MN 551131352
Phone: (651) 633-6883
Fax: (651) 528-6276
Type: Location
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 551131306
Phone: (651) 633-6883
Fax: (651) 331-3459
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $10,421.
Total Amount is formed as General ($10,421) + Research ($0) + Ownership ($0) = $10,421.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: ABBVIE INC. ($10,392).
Total Amount
$10,421
General + Research + Ownership
Payments
7
Total payment records
General Amount
$10,421
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $10,392 |
| Galderma Laboratories, L.P. | $15 |
| STRATA Skin Sciences, Inc. | $15 |
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: 2023-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110707000553 | I | Dermatology | MN | TBD |
| I20230914004027 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 2,368 | 183 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 2,298 | 168 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 2,271 | 168 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 1,604 | 509 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 896 | 56 | $0 |
Insurance plans in this area (ZIP 55113)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MN | 17003 | Destruction of 2-14 skin growths | 1200 | 220 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| P O D I A T R Y | WI | |
| Physician Assistant | MN | |
| P A T H O L O G Y | IL | |
| Physician Assistant | MN | |
| P A T H O L O G Y | CT |
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