DR. NISHANT DWIVEDI (MD) – Orthopaedic Surgery Physician, NPI 1386139327

DR. NISHANT DWIVEDI (MD) is a healthcare provider. based in Blaine, Minnesota. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 77124 (MN). The NPI Number for DR. NISHANT DWIVEDI (MD) is 1386139327

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. NISHANT DWIVEDI (MD)
NPI
1386139327
Phone
(763) 302-2600
Address
11225 ULYSSES ST NE
Enumeration Date
22 June 2018
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7633022600
Graduation Year
2018 (8 years ago)
PAC ID
8921469750
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20240909001726
Address ID
MN554344261BL11225NEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

89 HAND SURGERY in MN

Provider Addresses for DR. NISHANT DWIVEDI (MD)

  • 11225 ULYSSES ST NE

    BLAINE, MN 554344261

    Phone: (763) 302-2600

    Fax: (763) 302-2601

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-5000

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-5000

    Type: Location

  • 3500 AMERICAN BLVD W STE 300

    BLOOMINGTON, MN 554314442

    Phone: (952) 512-5600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $10,474.

Total Amount is formed as General ($10,474) + Research ($0) + Ownership ($0) = $10,474.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Arthrex, Inc. ($9,990).

Total Amount

$10,474

General + Research + Ownership

Payments

6

Total payment records

General Amount

$10,474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2024-09-09

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
I20240909001726IHand 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.

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

Insurance plans in this area (ZIP 55434)

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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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Can I cross-check DR. NISHANT DWIVEDI (MD) using NPI 1386139327?
NPI 1386139327 belongs to DR. NISHANT DWIVEDI (MD); compare other details if you need extra assurance.
Is there an active status for DR. NISHANT DWIVEDI (MD)?
For scheduling context, DR. NISHANT DWIVEDI (MD) is shown as active in the registry.
What kind of doctor is DR. NISHANT DWIVEDI (MD)?
DR. NISHANT DWIVEDI (MD) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. NISHANT DWIVEDI (MD) registered?
Use Blaine, Minnesota as the headline location for DR. NISHANT DWIVEDI (MD) here.
Does DR. NISHANT DWIVEDI (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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