Dr. Richard H Tholen, MD

Plastic Surgery in Minneapolis, MN. Individual provider (NPI-1).

NPI number1104893643

StatusActive

Last updated in NPPESJul 13, 2026

Details

NPI: 1104893643
Entity type: Individual (NPI-1)
Name: Dr. Richard H Tholen
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 3, 2006
Last updated: Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
Medicare opt-out: Dec 15, 2015 to Dec 15, 2027
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208200000X	Plastic Surgery	026478	MN	Yes

Practice location

4825 Olson Memorial Hwy
Suite 200
Minneapolis, MN 55422

Phone 763-545-0443 · Fax 763-545-2784

Mailing address

4825 Olson Memorial Hwy
Suite 200
Minneapolis, MN 55422

Phone 763-545-0443 · Fax 763-545-2784

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Plastic Surgery Physician providers in Minneapolis, MN

All 13 Plastic Surgery Physician providers in Minneapolis · All 27,202 providers in Minneapolis

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