JOSEPH BUYTENDORP MD
NPI 1235983172
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 16, 2024PECOS Enrolled
2426 W BROADWAY AVE, MINNEAPOLIS, MN 55411(612) 302-8200 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joseph Buytendorp Md NPPES

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

JOSEPH BUYTENDORP MD (NPI 1235983172) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235983172
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH BUYTENDORPCredential: MD
Location Address2426 W BROADWAY AVEMinneapolis, MN 55411-1735
Mailing Address2426 W Broadway AveMinneapolis, MN 55411-1735 · (612) 302-8200
Sole ProprietorNo
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
NPI 1235983172 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.

2426 W BROADWAY AVE, Minneapolis, MN 55411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joseph Buytendorp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Family Medicine
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Family Medicine
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hospitalist
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Pharmacist (Ambulatory Care)
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Student in an Organized Health Care Education/Training Program
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Pharmacist
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Student in an Organized Health Care Education/Training Program
2426 W BROADWAY AVE
MINNEAPOLIS, MN 55411

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 Joseph Buytendorp's NPI number?

The NPI number for Joseph Buytendorp is 1235983172. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Joseph Buytendorp located?

Joseph Buytendorp practices at 2426 W Broadway Ave, Minneapolis, MN 55411. The listed phone number is (612) 302-8200.

What is Joseph Buytendorp's specialty?

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

Is Joseph Buytendorp enrolled in Medicare?

Yes. Joseph Buytendorp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Buytendorp was last updated on April 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.