DR. JOHN BASS (M.D.) – Pediatric Cardiology Physician, NPI 1164468583

DR. JOHN BASS (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 24910 (MN). The NPI Number for DR. JOHN BASS (M.D.) is 1164468583

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN BASS (M.D.)
NPI
1164468583
Phone
(612) 626-2755
Address
UNIVERSITY OF MINNESOTA PHYSICIANS
Enumeration Date
22 June 2006
Last Update Date
28 July 2009

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6126727422
Graduation Year
1970 (56 years ago)
PAC ID
5294741732
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20060221000751
Address ID
MN554541450MI2450XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN

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Provider Addresses for DR. JOHN BASS (M.D.)

  • University of Minnesota Physicians, 720, Southeast Washington Avenue, Minneapolis, Hennepin County, Minnesota, 55414, United States

    420 DELAWARE STREET SE, MMC 94

    MINNEAPOLIS, MN 55455

    Phone: (612) 626-2755

    Fax: (612) 626-2467

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $1,987.

Total Amount is formed as General ($1,987) + Research ($0) + Ownership ($0) = $1,987.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: B. Braun Interventional Systems Inc. ($1,987).

Total Amount

$1,987

General + Research + Ownership

Payments

2

Total payment records

General Amount

$1,987

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-02-21

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
I20060221000751IPediatric 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55455)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I verify DR. JOHN BASS (M.D.) with an NPI only?
You can start verification with NPI 1164468583 for DR. JOHN BASS (M.D.), then check state licensing separately.
Can I rely on DR. JOHN BASS (M.D.) being an active provider?
As of the registry snapshot, DR. JOHN BASS (M.D.) is marked active.
What is DR. JOHN BASS (M.D.)'s specialty?
The listing groups DR. JOHN BASS (M.D.) with Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOHN BASS (M.D.)?
DR. JOHN BASS (M.D.)'s geographic hint is Minneapolis, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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