JEFFREY A SQUIRES (M.D.) – Specialist, NPI 1639115074

JEFFREY A SQUIRES (M.D.) is a healthcare provider. based in Fridley, Minnesota. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. 31480 (MN). The NPI Number for JEFFREY A SQUIRES (M.D.) is 1639115074

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY A SQUIRES (M.D.)
NPI
1639115074
Phone
(763) 571-4000
Address
7205 UNIVERSITY AVE NE
Enumeration Date
22 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635714000
Graduation Year
1986 (40 years ago)
PAC ID
8325949977
Group Practice PAC ID
8921908047
Professional Enrollment ID
I20110502000318
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JEFFREY A SQUIRES (M.D.)

  • 7205, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    FRIDLEY, MN 554323134

    Phone: (763) 571-4000

    Fax: (763) 571-7202

    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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 55432)

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Provider's Procedures

JEFFREY A SQUIRES (M.D.) performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMN11101Biopsy of each additional growth of skin and/or tissue3722
DERMATOLOGYMN13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet8867

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: 8921908047View full group profile
NameSpecialtyState
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
Dermatology, Micrographic Dermatologic Surgery (Mds)MN
Undefined Physician Type (Specify), DermatologyMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Where can patients find JEFFREY A SQUIRES (M.D.)'s NPI?
You can confirm JEFFREY A SQUIRES (M.D.) with NPI 1639115074; it appears in the national provider directory.
Is JEFFREY A SQUIRES (M.D.)'s NPI currently valid?
The extract we use shows JEFFREY A SQUIRES (M.D.) as active.
What kind of provider is JEFFREY A SQUIRES (M.D.)?
The page reflects Other Service Providers for JEFFREY A SQUIRES (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JEFFREY A SQUIRES (M.D.)?
The page summarizes Fridley, Minnesota for JEFFREY A SQUIRES (M.D.); expand the address list for detail.
How can I contact JEFFREY A SQUIRES (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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