MARIO JONATHAN BERTOGLIAT MD
NPI 1801683016
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Mario Bertogliat's NPI number?

The NPI number for Mario Bertogliat is 1801683016. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Mario Bertogliat's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mario Bertogliat was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 22, 2025PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-1596 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mario Jonathan Bertogliat Md NPPES

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

MARIO JONATHAN BERTOGLIAT MD (NPI 1801683016) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801683016

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMARIO JONATHAN BERTOGLIATCredential: MD

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 626-1596

Phone(612) 626-1596

Sole ProprietorNo

Enumeration DateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1801683016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Jonathan Bertogliat 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner