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
- 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 7 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
- Code Navigator
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 | 536 (AK) |
| 2 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 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
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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. | |||||||||
| 1 | 5 | 1 | 8 | 0 | 2 | 1 | 9 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 0 | 2 | 2 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 0 + 2 + 2 + 9 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1518021948 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003278961 | KIMBERLY EHLERT PHARMD, RPH Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 909 FULTON ST SE 3RD FLOOR, CLINIC AND SURGERY CENTER MINNEAPOLIS, MN 55455 (612) 672-5341 |
| 1396723243 | DR. WILLIAM E CONROY MD Individual | Internal Medicine | 909 FULTON ST SE UNIVERSITY OF MN HEALTH CLINICS AND SURGERY CENTER MINNEAPOLIS, MN 55455 (612) 273-8383 |
| 1285724708 | SUSAN E KLINE MD Individual | Internal Medicine (Infectious Disease) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1548455355 | SHILPA GUPTA MD, MBBS Individual | Internal Medicine (Hematology & Oncology) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1861724387 | DR. BENJAMIN R MILLER M.D. Individual | Psychiatry & Neurology (Vascular Neurology) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 625-4195 |
| 1700238037 | DR. JENNIE LYNN HOOGHEEM NP-C Individual | Nurse Practitioner (Family) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 624-9499 |
| 1356790273 | KALLI ANN SHADES PA-C Individual | Physician Assistant | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 273-9400 |
| 1407968084 | DANA B COUSINS PAC Individual | Physician Assistant | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1083973630 | PARISA SALEHI M.D. Individual | Physical Medicine & Rehabilitation | 909 FULTON ST SE MMC 2121CJ MINNEAPOLIS, MN 55455 (612) 626-6688 |
| 1457794133 | AMANDA MARIE HJELTNESS PA-C Individual | Physician Assistant (Medical) | 909 FULTON ST SE UNIVERSITY OF MINNESOTA HEALTH CLINICS MINNEAPOLIS, MN 55455 (612) 273-8383 |
| 1982999397 | DR. ASHLEY KERYN JOHNSON DNP, RN, ANP-C Individual | Nurse Practitioner (Adult Health) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 676-5008 |
| 1740544527 | DR. AARON DANIEL CORFIELD D.P.M. Individual | Podiatrist (Primary Podiatric Medicine) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 273-9400 |
| 1407048416 | MICHAEL JAY LEFFLER-MCCABE MD Individual | Psychiatry & Neurology (Clinical Neurophysiology) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1124162169 | LAUREN ELIZABETH SCHROCK M.D. Individual | Psychiatry & Neurology (Neurology) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1477780245 | CHRISTOPHER JAMES TIGNANELLI MD Individual | Surgery (Surgical Critical Care) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1598083081 | DR. ELIZABETH CATHERINE NEIL M.D. Individual | Psychiatry & Neurology (Neurology) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 273-8383 |
| 1508155847 | BRONWYN SOUTHWELL M.D. Individual | Anesthesiology | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1588007116 | STEPHANIE ERIN STANDAL M.D. Individual | Physical Medicine & Rehabilitation | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1871572909 | SALLY A MULLANY M.D. Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
| 1093858607 | KAYSIE LYNN BANTON MD Individual | Surgery | 909 FULTON ST SE MINNEAPOLIS, MN 55455 (612) 672-7422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518021948, enumerated in the NPI registry as an "individual" on December 20, 2006
The provider is located at 909 Fulton St Se Minneapolis, Mn 55455 and the phone number is (612) 672-7422
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
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 December 20, 2006. 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.