Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Shibru, MD

Individual provider Surgery Physician · NPI 1679708697

Dr. Daniel Shibru, MD is a Colorectal Surgery (Proctology) in Minneapolis, Minnesota. Qualified in 2002, 24 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 Oak Grove St Apt 211
Minneapolis, MN 55403-4004
Phone: (510) 282-9145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A85654 (CA)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence A85654 (CA)

Record details

NPI number1679708697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 19, 2009
Last updated in NPPESFebruary 11, 2022
Mailing address1524 Woolsey St, Apt A, Berkeley, CA 94703-2368

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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