BENOIT BLONDEAU (MD MBA) – Surgery Physician, NPI 1902872708

BENOIT BLONDEAU (MD MBA) is a healthcare provider. based in Bloomington, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD MBA. They hold a License No. MD2019-0810 (NM). The NPI Number for BENOIT BLONDEAU (MD MBA) is 1902872708

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
BENOIT BLONDEAU (MD MBA)
NPI
1902872708
Phone
Not provided
Address
8170 33RD AVE S # MS 21110Q
Enumeration Date
23 February 2006
Last Update Date
28 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512547400
Graduation Year
1992 (34 years ago)
PAC ID
3173584026
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20210625001860
Address ID
MN551305302SA401XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

730 GENERAL SURGERY in MN

Provider Addresses for BENOIT BLONDEAU (MD MBA)

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 401 PHALEN BLVD

    SAINT PAUL, MN 551305302

    Phone: (651) 254-7980

    Fax: (651) 254-7969

    Type: Location

  • 933 Bradbury Dr SE Ste 2222

    Albuquerque, NM 87106

    Phone: (505) 272-6487

    Type: Location

  • Bradbury Drive Southeast, Albuquerque, Bernalillo County, New Mexico, 87106-5117, United States

    ALBUQUERQUE, NM 871064375

    Phone: (505) 272-6487

    Type: Mailing

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: 2021-06-25

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
I20191107002659IGeneral SurgeryNMTBD
I20210625001860IGeneral SurgeryMNTBD

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
99291Critical care, first 30-74 minutes7027$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

How do I look up BENOIT BLONDEAU (MD MBA) by NPI?
Use NPI 1902872708 when you need to reference BENOIT BLONDEAU (MD MBA) in forms, claims, or directories.
Is BENOIT BLONDEAU (MD MBA) currently active in the NPI registry?
CMS-published data lists BENOIT BLONDEAU (MD MBA) as an active registrant.
Can you summarize BENOIT BLONDEAU (MD MBA)'s specialty in plain language?
Clinically, the directory lists BENOIT BLONDEAU (MD MBA) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for BENOIT BLONDEAU (MD MBA)?
We surface Bloomington, Minnesota for BENOIT BLONDEAU (MD MBA) based on available NPPES addresses.
How can I contact BENOIT BLONDEAU (MD MBA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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