FAIRVIEW HOME INFUSION RETAIL – Home Infusion Therapy Pharmacy, NPI 1508890450
Home Infusion Therapy Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FAIRVIEW HOME INFUSION RETAIL
711B KASOTA AVE SE
MINNEAPOLIS, MN 554142842
Phone: (612) 672-2233
Fax: (612) 672-2234
Type: Location
290 Main St NW
Elk River, MN 553301270
Phone: (612) 672-2233
Type: Location
Minneapolis Marriott Northwest, 7025, Northland Drive North, Brooklyn Park, Hennepin County, Minnesota, 55428, United States
PO BOX 1450
MINNEAPOLIS, MN 554857849
Phone: (612) 617-3812
Fax: (612) 672-6659
Type: Mailing
3650 VICTORIA ST N
STE 600
SHOREVIEW, MN 551262906
Phone: (612) 672-2233
Fax: (612) 672-2234
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: 2021-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (195 days ago).
Enrollment records
2
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20100930096674 | O | Pharmacy | MN | 2025-11-30 |
| O20210505000762 | O | Home Infusion Therapy Supplier | MN | 2026-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0070 | Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes | 756 | 42 | $0 |
| G0090 | Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes | 126 | 30 | $0 |
Insurance plans in this area (ZIP 55414)
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