DR. BORIS MICHAEL BECKERT (MD) – Family Medicine Physician, NPI 1528059375
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
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Provider Addresses for DR. BORIS MICHAEL BECKERT (MD)
JenCare Med Center, 2406, West Broadway, Louisville, Jefferson County, Kentucky, 40211, United States
JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC
LOUISVILLE, KY 402111008
Phone: (502) 775-1211
Fax: (502) 775-1221
Type: Mailing
West 98th Street, Bloomington, Hennepin County, Minnesota, 55438, United States
BLOOMINGTON, MN 554204773
Phone: (502) 775-1211
Fax: (502) 775-1221
Type: Location
2945 Hazelwood St Ste 100
Maplewood, MN 551091242
Phone: (651) 232-7800
Fax: (651) 232-7940
Type: Location
1217 Eighth Street North
New Ulm, MN 560734773
Phone: (507) 217-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050321000830 | I | Family Practice | MN | TBD |
| I20050404000856 | I | Family Practice | WI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MO | |
| - | MN | |
| - | VA | |
| - | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN |
Reviews
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