JAIDEV R BHOOPAL (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1962610956

JAIDEV R BHOOPAL (M.D.) is a healthcare provider. based in Duluth, Minnesota. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. N0648 (TX). The NPI Number for JAIDEV R BHOOPAL (M.D.) is 1962610956

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JAIDEV R BHOOPAL (M.D.)
NPI
1962610956
Phone
(218) 786-8364
Address
400 E 3RD ST
Enumeration Date
21 May 2007
Last Update Date
6 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187868364
Graduation Year
2004 (22 years ago)
PAC ID
1557421328
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20130207000226
Address ID
MN558051913DU502XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

350 CRITICAL CARE (INTENSIVISTS) in MN

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Provider Addresses for JAIDEV R BHOOPAL (M.D.)

  • 400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    ESSENTIA HEALTH DULUTH CLINIC

    DULUTH, MN 55805

    Phone: (218) 786-8364

    Mailing address matches the actual address.

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: 2013-02-07

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
I20130207000226ICritical Care (Intensivists)MNTBD

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 minutes13962$0
99292Critical care, each additional 30 minutes9443$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1515$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1514$0
36620Insertion of artery tube for blood sampling or infusion through skin1513$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

How do payers reference JAIDEV R BHOOPAL (M.D.)?
For JAIDEV R BHOOPAL (M.D.), use NPI 1962610956 as the unique 10-digit identifier.
Active or inactive — what applies to JAIDEV R BHOOPAL (M.D.)?
You should see JAIDEV R BHOOPAL (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for JAIDEV R BHOOPAL (M.D.)?
At a glance, JAIDEV R BHOOPAL (M.D.) is tied to Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is JAIDEV R BHOOPAL (M.D.) registered?
Use Duluth, Minnesota as the headline location for JAIDEV R BHOOPAL (M.D.) here.
When was this NPI issued?
Enumeration for JAIDEV R BHOOPAL (M.D.) is noted as May 21, 2007 where the registry provides it.

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