DR. JILL Q DWORSKY M.D.
NPI 1013303239
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455(612) 624-7155 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jill Q Dworsky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILL Q DWORSKY M.D. (NPI 1013303239) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of California, Geffen School Of Medicine (2015).

NPPES Registry Identity

NPI1013303239
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JILL Q DWORSKYCredential: M.D.
Location Address420 DELAWARE ST SE, MMC 195Minneapolis, MN 55455-0341
Mailing Address420 Delaware St Se, Mmc 195Minneapolis, MN 55455-0341 · (612) 624-7155
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2015
Enumeration DateApril 14, 2015
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedMay 26, 2022
✔ NPI 1013303239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE, Minneapolis, MN 55455

Other Names 1

Former Name (1)Dr. Jill Q Klausner Md

Secondary Practice Location 1

Location 1Ronald Reagan Ucla Medical Ctr Rm B711, 757 Westwood PlazaLos Angeles, CA 90095-0001 · Phone (310) 825-6643

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jill Q Dworsky M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800129453
PECOS Enrollment IDI20231128001562
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jill Dworsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Dworsky's NPI number?

The NPI number for Jill Dworsky is 1013303239. It was assigned to this individual provider in the NPPES registry on April 14, 2015. The provider is also known as Dr. Jill Q Klausner MD.

Where is Jill Dworsky located?

Jill Dworsky practices at 420 Delaware St SE Mmc 195, Minneapolis, MN 55455. The listed phone number is (612) 624-7155.

What is Jill Dworsky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jill Dworsky enrolled in Medicare?

Yes. Jill Dworsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jill Dworsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Dworsky reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Dworsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jill Dworsky was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.