JAIDEV R BHOOPAL M.D. NPI 1962610956

NPI Information

NPI: 1962610956
Provider Name: JAIDEV R BHOOPAL, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: THE DULUTH CLINIC LTD

PECOS Registration: Yes

Address:
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364
Get Directions

Jaidev R Bhoopal, M.D. is a critical care medicine internal medicine in Duluth, MN with 20 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Jaidev R Bhoopal, M.D. NPI is 1962610956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364

The NPI 1962610956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		N0648	TEXAS	No
2	207R00000X	Internal Medicine		55855	MINNESOTA	No
3	208M00000X	Hospitalist		55855	MINNESOTA	No
4	207RC0200X	Internal Medicine	Critical Care Medicine	55855	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0004-0018721	OTHER	MINNESOTA	MEDICA
2	1962610956	MEDICAID	MINNESOTA
3	1975229-01	MEDICAID	TEXAS
4	1962610956	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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