Unknown Individual – Nephrology Physician, NPI 1851376172

Unknown Individual is a healthcare provider. based in St louis park, Minnesota. specializing in Nephrology Physician. They hold a License No. 14605 (MN). The NPI Number for Unknown Individual is 1851376172

Main info

Organization
Inactive
68 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1851376172
Phone
Not provided
Address
3800 PARK NICOLLET BLVD
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529938000
Graduation Year
1958 (68 years ago)
PAC ID
2860533981
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20100111000556
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    CREDENTIALING

    ST LOUIS PARK, MN 554162527

    Phone:

    Type: Mailing

  • Blaisdell Av, West Franklin Avenue, Whittier, Minneapolis, Hennepin County, Minnesota, 55405, United States

    MINNEAPOLIS, MN 554042414

    Phone: (952) 993-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample4024$0
99213Established patient office or other outpatient visit, 20-29 minutes2824$0
99214Established patient office or other outpatient visit, 30-39 minutes2521$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

Loading plans...

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1851376172.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Nephrology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to St Louis Park, Minnesota in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

DONALD A DUNCAN

Nephrology Physician
Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
NPI: 1720063266

RICHARD JR. MOORE

Nephrology Physician
3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
NPI: 1861479834

WILLIAM STUART

Nephrology Physician
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
NPI: 1053398032

MARY TAHNK-JOHNSON

Nephrology Physician
Wayzata Blvd, South Wayzata Boulevard, Minneapolis, Hennepin County, Minnesota, 55416, United States
NPI: 1548247547

JOHN OPSAHL

Nephrology Physician
3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
NPI: 1356328207

ANTHONY WOOLLEY

Internal Medicine Physician
Wayzata Blvd, South Wayzata Boulevard, Minneapolis, Hennepin County, Minnesota, 55416, United States
NPI: 1801873732
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
NPI: 1043276207

DR. RAJEEV KAUL (M.B.B.S)

Nephrology Physician
2485 HIGH SCHOOL AVE STE 311
NPI: 1336198183

ERIC C CHEN (MD)

Nephrology Physician
1500 Curve Crest Blvd W
NPI: 1235323247