DR. JOHN RAYMOND FENYK JR. M.D.
NPI 1265463129
Dermatology in Minneapolis, MN
About Dr. John Raymond Fenyk Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN RAYMOND FENYK JR. M.D. (NPI 1265463129) is an individual dermatology provider in Minneapolis, Minnesota, licensed in Minnesota (23247) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Virginia School Of Medicine (1975).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
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. John Raymond Fenyk Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Fenyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 John Fenyk's NPI number?
The NPI number for John Fenyk is 1265463129. It was assigned to this individual provider in the NPPES registry on July 6, 2006.
Where is John Fenyk located?
John Fenyk practices at 516 Delaware St SE Mmc 98, Minneapolis, MN 55455. The listed phone number is (612) 625-5656.
What is John Fenyk's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is John Fenyk enrolled in Medicare?
Yes. John Fenyk 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 organizations bill Medicare for John Fenyk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fenyk reassigns Medicare benefits to 2 organizations: Hennepin Healthcare System, Inc (Minneapolis, MN) and Park Nicollet Clinic (Minneapolis, MN). Each 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 John Fenyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Fenyk affiliated with any hospitals?
According to CMS data, John Fenyk is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for John Fenyk was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. John Raymond Fenyk Jr., M.D. · NPI 1265463129
Dermatology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1265463129 (Entity type: Individual)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 23247 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 DELAWARE ST SE, MMC 98, Minneapolis, MN 55455-0356
- **Phone:** (612) 625-5656 · **Fax:** (612) 624-6678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hennepin Healthcare System, Inc (NPI 1962914333, Minneapolis, MN); Park Nicollet Clinic (NPI 1912315144, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 1975
## Record status
- **NPPES last updated:** June 4, 2008
- **Other identifiers:** Medicare UPIN B84837 (MN); Medicaid 305893000 (MN); Other 0716001 (MN); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1265463129) · Data from the CMS NPPES public registry.