DR. CHARLES P REZNIKOFF (MD) – Addiction Medicine (Internal Medicine) Physician, NPI 1013952175

DR. CHARLES P REZNIKOFF (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 48516 (MN). The NPI Number for DR. CHARLES P REZNIKOFF (MD) is 1013952175

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES P REZNIKOFF (MD)
NPI
1013952175
Phone
Not provided
Address
701 PARK AVE # G5
Enumeration Date
20 June 2006
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6128736963
Graduation Year
2002 (24 years ago)
PAC ID
6103839725
Group Practice PAC ID
4789684861
Professional Enrollment ID
I20060727000451
Address ID
MN554151623MI701XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

40 ADDICTION MEDICINE in MN

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Provider Addresses for DR. CHARLES P REZNIKOFF (MD)

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone:

    Type: Mailing

  • 807, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MINNEAPOLIS, MN 554041136

    Phone: (612) 347-7600

    Fax: (612) 347-7615

    Type: Location

  • 914 S 8TH ST

    MINNEAPOLIS, MN 554041204

    Phone: (612) 873-5500

    Type: Location

  • 701 PARK AVE

    MINNEAPOLIS, MN 554151623

    Phone: (763) 873-3000

    Type: Mailing

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: 2006-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060727000451IAddiction MedicineMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8935$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5021$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 55415)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789684861View full group profile
NameSpecialtyState
N E P H R O L O G YMN
Hematology/Oncology, Internal MedicineMN
-MN
Nurse PractitionerMN
-MN
-TN
Emergency MedicineMN
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMN

Reviews

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Frequently asked questions

What is DR. CHARLES P REZNIKOFF (MD)'s NPI number?
DR. CHARLES P REZNIKOFF (MD)'s NPI is 1013952175 — the number used across U.S. healthcare to identify this provider.
Is DR. CHARLES P REZNIKOFF (MD) shown as active in public data?
Registry records indicate DR. CHARLES P REZNIKOFF (MD) maintains an active NPI.
What kind of doctor is DR. CHARLES P REZNIKOFF (MD)?
DR. CHARLES P REZNIKOFF (MD) is associated with Addiction Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CHARLES P REZNIKOFF (MD)?
Directory geography for DR. CHARLES P REZNIKOFF (MD) centers on Minneapolis, Minnesota.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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