JOHN J NICOTRA MD
NPI 1194753335
Radiology - Diagnostic Radiology in Minneapolis, MN

Q: What is John Nicotra's NPI number?

The NPI number for John Nicotra is 1194753335. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is John Nicotra's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for John Nicotra was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since June 28, 2006PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-8200 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About John J Nicotra Md NPPES

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

JOHN J NICOTRA MD (NPI 1194753335) is an individual diagnostic radiology provider in Minneapolis, Minnesota, licensed in Minnesota (42549) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1990).

NPPES Registry Identity

NPI1194753335

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJOHN J NICOTRACredential: MD

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing AddressPo Box 46100Plymouth, MN 55446-0100 · (763) 553-9920

Phone(612) 813-8200

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 1990

Enumeration DateJune 28, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1194753335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MN · 42549

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 42549 (MN)

2525 CHICAGO AVE, Minneapolis, MN 55404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John J Nicotra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870576507

PECOS Enrollment IDI20040611001127

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)