RAYMOND JOHN POOR (M.D.) – Nephrology Physician, NPI 1730106576

RAYMOND JOHN POOR (M.D.) is a healthcare provider. based in Brooklyn center, Minnesota. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 45375 (MN). The NPI Number for RAYMOND JOHN POOR (M.D.) is 1730106576

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
RAYMOND JOHN POOR (M.D.)
NPI
1730106576
Phone
(763) 561-5349
Address
6200 SHINGLE CREEK PKWY
Enumeration Date
17 July 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635815400
Graduation Year
1998 (28 years ago)
PAC ID
3274510649
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20040702000583
Address ID
MN554222926RO3300XNXXX400
Telehealth
Yes

Contacts

Secure Messaging
rpoor85616@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

274 NEPHROLOGY in MN

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Provider Addresses for RAYMOND JOHN POOR (M.D.)

  • Shingle Creek Parkway, Brooklyn Center, Hennepin County, Minnesota, 55430, United States

    SUITE 260

    BROOKLYN CENTER, MN 554302128

    Phone: (763) 561-5349

    Type: Mailing

  • Rice Street, Roseville, Ramsey County, Minnesota, 55126, United States

    ROSEVILLE, MN 551136807

    Phone: (651) 489-9035

    Fax: (651) 489-6373

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: AKEBIA THERAPEUTICS INC ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AKEBIA THERAPEUTICS INC$25
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: 2025-08-12

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
I20040702000583INephrologyMNTBD
I20250812004234INephrologyWITBD

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 minutes289136$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)16233$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)9320$0
99214Established patient office or other outpatient visit, 30-39 minutes7353$0
36415Insertion of needle into vein for collection of blood sample6039$0
View full utilization report →

Insurance plans in this area (ZIP 55430)

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Provider's Procedures

RAYMOND JOHN POOR (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMN90935Hemodialysis procedure with one physician evaluation9255
NEPHROLOGYMN90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older4929

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: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
-KY
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Medical Oncology, HematologyMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

Can I use this page to confirm RAYMOND JOHN POOR (M.D.)'s NPI?
Yes. RAYMOND JOHN POOR (M.D.) is listed with NPI 1730106576 in the public NPI dataset.
Can I rely on RAYMOND JOHN POOR (M.D.) being an active provider?
As of the registry snapshot, RAYMOND JOHN POOR (M.D.) is marked active.
What is RAYMOND JOHN POOR (M.D.) best known for clinically?
Directory data describes RAYMOND JOHN POOR (M.D.) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for RAYMOND JOHN POOR (M.D.)?
RAYMOND JOHN POOR (M.D.)'s geographic hint is Brooklyn Center, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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