DR. JOSEPH MAHONEY (MD) – Pediatrics Physician, NPI 1245244003

DR. JOSEPH MAHONEY (MD) is a healthcare provider. based in Buffalo, Minnesota. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 48173 (MN). The NPI Number for DR. JOSEPH MAHONEY (MD) is 1245244003

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH MAHONEY (MD)
NPI
1245244003
Phone
(763) 682-1313
Address
1700 HIGHWAY 25 N
Enumeration Date
28 July 2006
Last Update Date
17 March 2022

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7635812273
Graduation Year
1994 (32 years ago)
PAC ID
5193758977
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20050913000421
Address ID
MN553694648MA9855XDRXX300

Contacts

Secure Messaging
jmahoney3364@direct.northmemorial.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

717 PEDIATRIC MEDICINE in MN

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Provider Addresses for DR. JOSEPH MAHONEY (MD)

  • 1700 HIGHWAY 25 N

    BUFFALO, MN 553131930

    Phone: (763) 682-1313

    Fax: (763) 581-9090

    Type: Mailing

  • 1001, Hart Boulevard, Monticello, Wright County, Minnesota, 55362, United States

    SUITE 100

    MONTICELLO, MN 553628670

    Phone: (763) 295-2921

    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: 2005-09-13

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
I20050913000421IPediatric 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 55313)

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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: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
-KY
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Medical Oncology, HematologyMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

What number should I use to identify DR. JOSEPH MAHONEY (MD) for billing?
Administrative and clinical systems typically use NPI 1245244003 for DR. JOSEPH MAHONEY (MD).
Quick check: is DR. JOSEPH MAHONEY (MD) active?
Public NPPES data shows DR. JOSEPH MAHONEY (MD) with an active NPI status right now.
What does the directory say DR. JOSEPH MAHONEY (MD) does?
Insurance directories may phrase it differently, but here DR. JOSEPH MAHONEY (MD) maps to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOSEPH MAHONEY (MD)?
DR. JOSEPH MAHONEY (MD) shows a connection to Buffalo, Minnesota in registry-derived data.
Who maintains DR. JOSEPH MAHONEY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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