TIMOTHY JOSEPH PAMPUSCH PAC
NPI 1518021948
Physician Assistant - Surgical in Minneapolis, MN

NPI Status: Active since December 20, 2006

Contact Information

909 FULTON ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 672-7422

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physician Assistant
Surgical
PECOS Enrolled

About TIMOTHY PAMPUSCH

This page provides the complete NPI Profile along with additional information for Timothy Pampusch, a provider established in Minneapolis, Minnesota with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1518021948 assigned on December 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 10884 (MN). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI: 1518021948
Provider Name: TIMOTHY JOSEPH PAMPUSCH PAC
Gender: Male
Entity Type: Individual
Location Address: 909 FULTON ST SE MINNEAPOLIS, MN 55455
Location Phone: (612) 672-7422
Mailing Address: 5803 NEAL AVE N OAK PARK HEIGHTS, MN 55082
Mailing Phone: (651) 439-8807
Mailing Fax
Is Sole Proprietor?: No
Enumeration Date: 12-20-2006
Last Update Date: 10-22-2018
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Location Map

Secondary Locations

5803 Neal Ave N
Oak Park Heights, MN 55082
(651) 439-8807

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant Surgical
Taxonomy Code: 363AS0400X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 10884
License State: MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363AS0400X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant Surgical	536 (AK)
2	363AS0400X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant Surgical	3505-23 (WI)

Medicare Participation & PECOS Enrollment Status

Timothy Pampusch is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518021948, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 1 → 2 4 → 8