DR. ROBERT MICHAEL CUDDIHY (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1912977844
Endocrinology, Diabetes & Metabolism Physician
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Profile Insights
NPPES metrics only — not quality of care.
194 ENDOCRINOLOGY in MN
Provider Addresses for DR. ROBERT MICHAEL CUDDIHY (MD)
3800 Park Nicollet Blvd
International Diabetes Center
St Louis Park, MN 554162527
Phone: (952) 993-3143
Fax: (952) 993-1302
Type: Location
200 1st St SW
Rochester, MN 559052527
Phone: (507) 284-2511
Type: Location
PO BOX 810
HANOVER, NH 037550810
Phone: (603) 308-1453
Type: Mailing
3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
INTERNATIONAL DIABETES CENTER
ST LOUIS PARK, MN 55416
Phone: (952) 993-3143
Fax: (952) 993-1302
Type: Mailing
57 OCEAN AVE
SCARBOROUGH, ME 04074
Phone: (207) 952-7999
Type: Mailing
1 MEDICAL CENTER DR
LEBANON, NH 037560001
Phone: (603) 650-5000
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: 2023-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061219000218 | I | Endocrinology | MN | TBD |
| I20231021000173 | I | Internal Medicine | NH | TBD |
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.
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 55416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| P A T H O L O G Y | AZ | |
| Nurse Practitioner | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| O P H T H A L M O L O G Y | MN | |
| - | MN |
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