DR. JOHN BASS M.D. NPI 1164468583

NPI Information

NPI: 1164468583
Provider Name: DR. JOHN BASS, M.D.
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Organization: UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC

PECOS Registration: Yes

Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 672-7122
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DR. John Bass, M.D. is a pediatric cardiology pediatrics in Minneapolis, MN with 54 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. John Bass, M.D. NPI is 1164468583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1970

The provider's business location address is:

UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 672-7122

The NPI 1164468583 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 6/22/2006 and was last updated on 7/28/2009.

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	208000000X	Pediatrics		24910	MINNESOTA	No
2	2080P0202X	Pediatrics	Pediatric Cardiology	24910	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	1984401	MEDICAID	IOWA
2	A94435	MEDICARE UPIN	MINNESOTA
3	0644007	OTHER	MINNESOTA	PREFERRED ONE
4	060001305	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE
5	30259200	MEDICAID	WISCONSIN
6	276893300	MEDICAID	MINNESOTA
7	101002	OTHER	MINNESOTA	UCARE
8	HP12862	OTHER	MINNESOTA	HEALTHPARTNERS
9	2570708	OTHER	MINNESOTA	MEDICA PRIMARY
10	604547	OTHER	MINNESOTA	ARAZ
11	2T119BA	OTHER	MINNESOTA	BCBS
12	25-22585	OTHER	MINNESOTA	MEDICA CHOICE
13	N714184	MEDICARE PIN	NORTH DAKOTA
14	10383	MEDICAID	NORTH DAKOTA
15	370011072	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	RAILROAD MEDICARE
16	805361700	MEDICAID	IDAHO
17	0055641	MEDICAID	MONTANA
18	JB40370	MEDICAID	RHODE ISLAND

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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