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MANUEL A. IDROGO M.D.
NPI 1588730675
Family Medicine in Saint Paul, MN

Active since November 28, 2006PECOS Enrolled
580 RICE ST, SAINT PAUL, MN 55103(651) 227-6551(651) 665-0684 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Manuel A. Idrogo M.d. NPPES

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

MANUEL A. IDROGO M.D. (NPI 1588730675) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (37997) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588730675
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMANUEL A. IDROGOCredential: M.D.
Location Address580 RICE STSaint Paul, MN 55103-2148
Mailing Address580 Rice StSaint Paul, MN 55103-2148 · (651) 227-6551 · Fax (651) 665-0684
Phone(651) 227-6551
Fax(651) 665-0684
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1588730675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 37997
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
580 RICE ST, Saint Paul, MN 55103
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Other Identifiers 11

Medicaid2516896IA
Other58D76INMN · Bcbs
Medicare UPINF64836MN
Medicaid31738900WI
Other01-10998MN · Medica
OtherHP21967MN · Healthpartners
Other109254MN · Ucare
Medicaid225019500MN
Other768169MN · America's Ppo
Other1012167MN · Preferred One
Medicare ID-Type Unspecified080011858MN · Medicare Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel A. Idrogo M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Manuel Idrogo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics
Same address
Clinic/Center
580 RICE ST
Saint Paul, MN 55103
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1306470737 (651) 227-6551
Fairview Express Care
0.8 mi
Clinic/Center
45 10TH ST W STE 3000
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1275277204 (651) 326-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55103 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
$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.

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.

DR. BRIANNA MARIE JUDD M.D.
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
CHRISTA LANE WAYMIRE M.D.
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
ABBIE J METZLER D.O.
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
CENTER FOR VICTIMS OF TORTURE - BETHESDA
Community/Behavioral Health
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
MICHAEL ANNE SCHROEDER-TOYA J.D., M.D.
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
SINDHU MANIVANNAN MD
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
MR. MICHAEL THOMAS UNDERWOOD
Pharmacist
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 292-9728
SHAUN W KWOSEK MD
Student in an Organized Health Care Education/Training Program
580 RICE ST, BETHESDA CLINIC
SAINT PAUL, MN 55103
Ramsey County (773) 655-0610

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 Manuel Idrogo's NPI number?

The NPI number for Manuel Idrogo is 1588730675. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Manuel Idrogo located?

Manuel Idrogo practices at 580 Rice St, Saint Paul, MN 55103. The listed phone number is (651) 227-6551.

What is Manuel Idrogo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manuel Idrogo enrolled in Medicare?

Yes. Manuel Idrogo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Manuel Idrogo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Idrogo reassigns Medicare benefits to 2 organizations: Fairview Clinics (Saint Paul, MN) and Fairview Express Care (Saint Paul, 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 Manuel Idrogo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Manuel Idrogo was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.