RENE JR. ELDIDY (M.D.) – Family Medicine Physician, NPI 1457342032

RENE JR. ELDIDY (M.D.) is a healthcare provider. based in Long prairie, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 36275 (MN). The NPI Number for RENE JR. ELDIDY (M.D.) is 1457342032

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
RENE JR. ELDIDY (M.D.)
NPI
1457342032
Phone
(320) 732-2131
Address
20 9TH ST SE
Enumeration Date
2 November 2005
Last Update Date
7 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3207322141
Graduation Year
1983 (43 years ago)
PAC ID
4082756150
Group Practice PAC ID
3870524598
Professional Enrollment ID
I20100127000929
Address ID
MN563472100LO50XXXDRXX300
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

3,076 FAMILY PRACTICE in MN

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Provider Addresses for RENE JR. ELDIDY (M.D.)

  • Long Prairie Memorial Hospital, 20, 9th Street Southeast, Long Prairie, Todd County, Minnesota, 56347, United States

    CENTRACARE HEALTH SYSTEM - LONG PRAIRIE

    LONG PRAIRIE, MN 563471404

    Phone: (320) 732-2131

    Fax: (320) 732-6913

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Novo Nordisk Inc ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$17
PFIZER INC.$14
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: 2010-01-27

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
I20100127000929IFamily PracticeMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4426$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3219$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 56347)

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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: 3870524598View full group profile
NameSpecialtyState
General Surgery, Surgical Oncology, Colorectal Surgery (Proctology), Thoracic SurgeryMN
Physician AssistantGA
Family PracticeND
Hospice/Palliative CareMN
Internal Medicine, HospitalistMN
Nurse PractitionerMN
Internal Medicine, HospitalistMN
Nurse PractitionerMN
Internal Medicine, HospitalistMI
Internal Medicine, HospitalistMN

Reviews

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Frequently asked questions

Can I use this page to confirm RENE JR. ELDIDY (M.D.)'s NPI?
Yes. RENE JR. ELDIDY (M.D.) is listed with NPI 1457342032 in the public NPI dataset.
Is RENE JR. ELDIDY (M.D.) still practicing?
RENE JR. ELDIDY (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does RENE JR. ELDIDY (M.D.) hold?
Scheduling teams often label RENE JR. ELDIDY (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is RENE JR. ELDIDY (M.D.) based?
RENE JR. ELDIDY (M.D.) is tied to Long Prairie, Minnesota in the data we show; additional addresses may exist on the full record.
Why does RENE JR. ELDIDY (M.D.) 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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