NDIDIAMAKA KOKA (M.D.) – Family Medicine Physician, NPI 1518905405
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
Provider Addresses for NDIDIAMAKA KOKA (M.D.)
2700 E LAKE ST STE 1100
MINNEAPOLIS, MN 554061964
Phone: (612) 873-8100
Fax: (612) 276-0180
Type: Mailing
7650 Zane Ave N
Brooklyn Park, MN 554433151
Phone: (612) 873-6963
Fax: (612) 873-1920
Type: Location
701 Park Ave
Minneapolis, MN 554151623
Phone: (612) 873-3000
Fax: (612) 873-1928
Type: Location
701 PARK AVE # SL350
MINNEAPOLIS, MN 554151623
Phone: (612) 873-9696
Type: Mailing
2215 E LAKE ST STE 500
MINNEAPOLIS, MN 554074385
Phone: (612) 873-6963
Fax: (612) 276-0188
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: 2004-12-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041209000991 | I | Family Practice | MN | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 26 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 39 | 21 | $0 |
Insurance plans in this area (ZIP 55406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MN | |
| Hematology/Oncology, Internal Medicine | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | TN | |
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| - | MN |
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