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DR. RAJIV PRAVESH NAPAUL M.D.
NPI 1407295561
Internal Medicine in Minneapolis, MN

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
800 E 28TH ST, MINNEAPOLIS, MN 55407(612) 863-5567 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Jul 10, 2019 (2 updates tracked since 2019).

About Dr. Rajiv Pravesh Napaul M.d. NPPES

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

DR. RAJIV PRAVESH NAPAUL M.D. (NPI 1407295561) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (58133) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Minnesota Medical School (2013).

NPPES Registry Identity

NPI1407295561
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAJIV PRAVESH NAPAULCredential: M.D.
Location Address800 E 28TH STMinneapolis, MN 55407-3723
Mailing Address800 East 28th St, Mail Route 11326Minneapolis, MN 55407
Phone(612) 863-5567
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2013
Enumeration DateJune 21, 2013
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1407295561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 58133
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 E 28TH ST, Minneapolis, MN 55407
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajiv Pravesh Napaul 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 ID749573285
PECOS Enrollment IDI20160721001408
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
163 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

TAYLOR PETERSON OTR/L
Occupational Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
ANDREW RICHARD ERICKSON CRNA
Nurse Anesthetist, Certified Registered
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JOHN HUNN
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (218) 393-6255
DR. BRANDY KOZITZA DNP, APRN, ACCNS-AG
Physical Medicine & Rehabilitation
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-0879
JACQUELINE MARIE GASPERLIN PA-C
Physician Assistant
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JULIA ELIZABETH MCNAUGHTON PT, DPT
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
DONNA A SKOOG NP
Nurse Practitioner (Gerontology)
800 E 28TH ST, H2100
MINNEAPOLIS, MN 55407
Hennepin County (612) 775-3030
ROBERT E MCKLVEEN M.D.
Anesthesiology
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 871-7639

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 Rajiv Napaul's NPI number?

The NPI number for Rajiv Napaul is 1407295561. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Rajiv Napaul located?

Rajiv Napaul practices at 800 E 28th St, Minneapolis, MN 55407. The listed phone number is (612) 863-5567.

What is Rajiv Napaul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rajiv Napaul enrolled in Medicare?

Yes. Rajiv Napaul 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.

What insurance does Rajiv Napaul accept?

Health plans from Medica list Rajiv Napaul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rajiv Napaul affiliated with any hospitals?

According to CMS data, Rajiv Napaul is affiliated with North Memorial Health Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Rajiv Napaul was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.