ANDREW JOHN PORTIS (M.D.) – Urology Physician, NPI 1881681815

ANDREW JOHN PORTIS (M.D.) is a healthcare provider. based in Saint paul, Minnesota. specializing in Urology Physician. They hold the professional credentials M.D.. They hold a License No. 42720 (MN). The NPI Number for ANDREW JOHN PORTIS (M.D.) is 1881681815

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW JOHN PORTIS (M.D.)
NPI
1881681815
Phone
(651) 999-6909
Address
2550 UNIVERSITY AVE W
Enumeration Date
4 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
8426132440
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20090413000334
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

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Provider Addresses for ANDREW JOHN PORTIS (M.D.)

  • Minnesota Council of Health Plans, 2550, University Avenue West, South Saint Anthony Park, Saint Anthony Park, Saint Paul, Ramsey County, Minnesota, 55114, United States

    SUITE 240N

    SAINT PAUL, MN 551141052

    Phone: (651) 999-6909

    Fax: (651) 297-6115

    Type: Mailing

  • 360, Sherman Street, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States

    SUITE 400

    SAINT PAUL, MN 551022564

    Phone: (651) 999-6800

    Fax: (651) 999-6810

    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: 2009-04-13

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
I20090413000334IUrologyMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4334$0
52332Insertion of stent in ureter using an endoscope2017$0
52356Crushing of stone of ureter with insertion of stent using an endoscope1714$0
99441Telephone medical discussion with physician, 5-10 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 55114)

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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: 3971407636View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW JOHN PORTIS (M.D.)'s NPI?
Yes. ANDREW JOHN PORTIS (M.D.) is listed with NPI 1881681815 in the public NPI dataset.
Does the file indicate ANDREW JOHN PORTIS (M.D.) is practicing under active NPI?
Directory data currently reports ANDREW JOHN PORTIS (M.D.) as active.
What taxonomy line describes ANDREW JOHN PORTIS (M.D.)?
For research purposes, treat ANDREW JOHN PORTIS (M.D.) as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does ANDREW JOHN PORTIS (M.D.) serve?
ANDREW JOHN PORTIS (M.D.)'s listing highlights Saint Paul, Minnesota; more addresses can appear in NPPES.
Why does ANDREW JOHN PORTIS (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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