DAVID BOARD (MD) – Diagnostic Radiology Physician, NPI 1396707717

DAVID BOARD (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. M0665 (TX). The NPI Number for DAVID BOARD (MD) is 1396707717

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DAVID BOARD (MD)
NPI
1396707717
Phone
(952) 595-1301
Address
11995 SINGLETREE LN STE 500
Enumeration Date
3 April 2006
Last Update Date
4 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8042728806
Graduation Year
1998 (28 years ago)
PAC ID
5991001182
Group Practice PAC ID
9830088434
Professional Enrollment ID
I20160315001062
Address ID
TX787303715AU3707XCOVE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DAVID BOARD (MD)

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 2602 BUFORD RD

    NORTH CHESTERFIELD, VA 232353422

    Phone: (804) 272-8806

    Fax: (888) 849-3830

    Type: Mailing

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: 2022-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160315001062IDiagnostic RadiologyTXTBD
I20220401001034IDiagnostic RadiologyVATBD

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
71045X-ray of chest, 1 view689592$0
70450Ct scan head or brain without contrast366344$0
71275Ct scan of blood vessels of chest with contrast204200$0
74177Ct scan of abdomen and pelvis with contrast201196$0
74176Ct scan of abdomen and pelvis without contrast131130$0
View full utilization report →

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: 9830088434View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Diagnostic Radiology, Interventional RadiologyVA
Diagnostic RadiologyVA
-VA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
-VA

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID BOARD (MD)'s NPI?
Yes. DAVID BOARD (MD) is listed with NPI 1396707717 in the public NPI dataset.
Is DAVID BOARD (MD) still practicing?
DAVID BOARD (MD) is currently listed as active in the public NPI registry.
What is DAVID BOARD (MD)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DAVID BOARD (MD) here. Clinical services aligned with this taxonomy classification.
Where is DAVID BOARD (MD) based?
DAVID BOARD (MD) is tied to Eden Prairie, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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