AMRITA GOYAL-O'LEARY – Dermatology Physician, NPI 1801273545

AMRITA GOYAL-O'LEARY is a healthcare provider. based in Maple grove, Minnesota. specializing in DERMATOLOGY, GENERAL PRACTICE. They hold a License No. 63072 (MN). The NPI Number for AMRITA GOYAL-O'LEARY is 1801273545

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMRITA GOYAL-O'LEARY
NPI
1801273545
Phone
(952) 993-3376
Address
9555 UPLAND LN N
Enumeration Date
1 May 2015
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
9529931440
Graduation Year
2015 (11 years ago)
PAC ID
3173818564
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20180111001443
Address ID
MN553694400MA15800NXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

419 DERMATOLOGY in MN

Provider Addresses for AMRITA GOYAL-O'LEARY

  • 9555 UPLAND LN N

    MAPLE GROVE, MN 553694485

    Phone: (952) 993-3376

    Type: Location

  • 6545 France Ave S

    Edina, MN 554352131

    Phone: (952) 746-6090

    Type: Location

  • 420 DELAWARE ST SE

    MINNEAPOLIS, MN 554550341

    Phone: (612) 624-9964

    Type: Mailing

  • 6401 FRANCE AVE S

    EDINA, MN 554352104

    Phone: (952) 924-5000

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 820 SPRINGER DR

    LOMBARD, IL 601486413

    Phone: (815) 744-8554

    Type: Mailing

  • 6545 FRANCE AVE S

    EDINA, MN 554352131

    Phone: (952) 746-6090

    Type: Location

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 $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($35).

Total Amount

$109

General + Research + Ownership

Payments

7

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

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: 2018-01-11

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
I20180111001443IDermatologyMNTBD

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 growths20445$0
99213Established patient office or other outpatient visit, 20-29 minutes179152$0
11102Biopsy of related skin growth, first growth8975$0
17110Destruction of skin growth, 1-14 growths7367$0
17000Destruction of precancer skin growth, 1 growth7362$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How do I look up AMRITA GOYAL-O'LEARY by NPI?
Use NPI 1801273545 when you need to reference AMRITA GOYAL-O'LEARY in forms, claims, or directories.
Is AMRITA GOYAL-O'LEARY currently active in the NPI registry?
CMS-published data lists AMRITA GOYAL-O'LEARY as an active registrant.
Does AMRITA GOYAL-O'LEARY list a primary specialty?
If you are matching referrals, note Dermatology Physician for AMRITA GOYAL-O'LEARY. Clinical services aligned with this taxonomy classification.
Where does public data place AMRITA GOYAL-O'LEARY?
The snapshot lists Maple Grove, Minnesota for AMRITA GOYAL-O'LEARY; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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