GARY J ROSENTHAL (MD) – Vascular Surgery Physician, NPI 1265491278

GARY J ROSENTHAL (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 43780 (MN). The NPI Number for GARY J ROSENTHAL (MD) is 1265491278

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
GARY J ROSENTHAL (MD)
NPI
1265491278
Phone
(952) 883-5790
Address
8170 33RD AVE S # MS 21110Q
Enumeration Date
20 March 2006
Last Update Date
17 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
6512547400
Graduation Year
1987 (39 years ago)
PAC ID
8729181631
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20070314000389
Address ID
MN551305302SA401XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

122 VASCULAR SURGERY in MN

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Provider Addresses for GARY J ROSENTHAL (MD)

  • 8170 33RD AVE S # MS 21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 883-5790

    Fax: (952) 853-8727

    Type: Mailing

  • 401, Phalen Boulevard, Saint Paul, Ramsey County, Minnesota, 55130, United States

    MAIL STOP 41104A

    SAINT PAUL, MN 551015302

    Phone: (651) 254-7980

    Fax: (651) 254-7969

    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: 2007-03-14

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
I20070314000389IVascular SurgeryMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7953$0
93880Ultrasound of both sides of head and neck blood flow3530$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
82565Blood creatinine level2119$0
99213Established patient office or other outpatient visit, 20-29 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for GARY J ROSENTHAL (MD)?
GARY J ROSENTHAL (MD) — NPI 1265491278 — is the standard way to identify this listing.
Does the file indicate GARY J ROSENTHAL (MD) is practicing under active NPI?
Directory data currently reports GARY J ROSENTHAL (MD) as active.
What is GARY J ROSENTHAL (MD)'s specialty?
The listing groups GARY J ROSENTHAL (MD) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Does GARY J ROSENTHAL (MD) list a practice location?
Patients near Minneapolis, Minnesota may find GARY J ROSENTHAL (MD) in results; validate coverage separately.
Why does GARY J ROSENTHAL (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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