KEITH MITCHELL SKUBITZ MD NPI 1215019203

NPI Information

NPI: 1215019203
Provider Name: KEITH MITCHELL SKUBITZ, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
424 HARVARD STREET SE
MASONIC CANCER CENTER, FIRST FLOOR, SUITE M100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-5411
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Keith Mitchell Skubitz, MD is a medical oncology internal medicine in Minneapolis, MN with 48 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Keith Mitchell Skubitz, MD NPI is 1215019203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

424 HARVARD STREET SE
MASONIC CANCER CENTER, FIRST FLOOR, SUITE M100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-5411

The NPI 1215019203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 10/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		23896	MINNESOTA	No
2	207RX0202X	Internal Medicine	Medical Oncology	23896	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100796	OTHER	MINNESOTA	UCARE
2	900000155	MEDICARE ID-TYPE UNSPECIFIED
3	900001709	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD
4	36-00276	OTHER	MINNESOTA	MEDICA CHOICE
5	HP22239	OTHER	MINNESOTA	HEALTH PARTNERS
6	1009310	OTHER	MINNESOTA	PREFERRED ONE
7	2T180SK	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
8	7777470	MEDICAID	SOUTH DAKOTA
9	597099	OTHER	MINNESOTA	ARAZ
10	A95268	MEDICARE UPIN
11	10387	MEDICAID	NORTH DAKOTA
12	36-00013	OTHER	MINNESOTA	MEDICA PRIMARY
13	30713600	MEDICAID	WISCONSIN
14	757873300	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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