ANDRES JOSE GONZALEZ COBA MD
NPI 1275194631
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

NPI Status: Active since June 26, 2019

Contact Information

420 DELAWARE STREET SE MMC 284
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-5454

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About ANDRES GONZALEZ COBA

This page provides the complete NPI Profile along with additional information for Andres Gonzalez Coba, a primary care provider established in Minneapolis, Minnesota with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1275194631 assigned on June 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1275194631
Provider Name
ANDRES JOSE GONZALEZ COBA MD
Gender
Male
Entity Type
Individual
Location Address
420 DELAWARE STREET SE MMC 284 MINNEAPOLIS, MN 55455
Location Phone
(612) 626-5454
Mailing Address
420 DELAWARE STREET SE MMC 284 MINNEAPOLIS, MN 55455
Mailing Phone
(612) 626-5454
Is Sole Proprietor?
Yes
Enumeration Date
06-26-2019
Last Update Date
06-26-2019
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A primary care provider (PCP) like Andres Gonzalez Coba sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Andres Gonzalez Coba 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

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275194631
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214529866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 2 + 9 + 8 + 6 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1275194631 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275194631, enumerated in the NPI registry as an "individual" on June 26, 2019

The provider is located at 420 Delaware Street Se Mmc 284 Minneapolis, Mn 55455 and the phone number is (612) 626-5454

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

This NPI record was last updated on June 26, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.