JAY ROLAND DUXIN (M.D.) – Diagnostic Radiology Physician, NPI 1275592610

Diagnostic Radiology Physician

JAY ROLAND DUXIN (M.D.) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 033667 (CT). The NPI Number for JAY ROLAND DUXIN (M.D.) is 1275592610

Main info

Male

37 Years Of Experience

Accepts Medicare Assignment

Name

JAY ROLAND DUXIN (M.D.)

NPI

1275592610

Phone

(952) 595-1301

Address

11995 SINGLETREE LN

Enumeration Date

23 March 2006

Last Update Date

28 January 2016

Doctor Profile

Medical School Name

STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY

Secondary Phone

6143407740

Graduation Year

1989 (37 years ago)

PAC ID

6800869991

Group Practice PAC ID

8729976964

Professional Enrollment ID

I20040817000660

Address ID

CT06001XXXXAVXXXXXXXXXX00

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

804 DIAGNOSTIC RADIOLOGY in CT

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Provider Addresses for JAY ROLAND DUXIN (M.D.)

11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
18, James Court, Avon, Capitol Planning Region, Connecticut, 06001, United States
AVON, CT 060012988
Phone: (952) 595-1100
Fax: (612) 294-4903
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: 2025-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20040817000660	I	Diagnostic Radiology	CT	TBD
I20160726003093	I	Diagnostic Radiology	TX	TBD
I20250528001596	I	Diagnostic Radiology	FL	TBD
I20250603004172	I	Diagnostic Radiology	OH	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.

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 55344)

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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: 8729976964View full group profile

Name	Specialty	State
DR. NAMI P ZARVAN (MD)	Interventional Radiology, Diagnostic Radiology	WI
DAVID L BROWN (MD)	Diagnostic Radiology	OH
Unknown Individual	-	OH
JOHN LEACH (M.D.)	Diagnostic Radiology	OH
DR. YAQUOB TOKHI (D.O.)	Diagnostic Radiology	FL