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

Dr. Dara D Koozekanani, MD, PHD

Individual provider Ophthalmology Physician · NPI 1265497556

Dr. Dara D Koozekanani, MD, PHD is an Ophthalmology in Minneapolis, Minnesota. Graduated from Ohio State University College of Medicine in 2003, 23 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
23
Trained at
Ohio State University College of Medicine
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

420 Delaware St SE Mmc 493
Minneapolis, MN 55455-0341
Phone: (612) 625-9600
Fax: (612) 625-3693
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 — (952) 993-3150

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 50244 (WI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 51736 (MN)

Record details

NPI number1265497556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Minneapolis