Jason David Pimentel, M.B.B.S.
Individual provider Active NPI Dermatopathology (Pathology) Physician · Rochester, MN
NPI 1578739736 · NPPES record last updated Oct 9, 2012
Key facts
- NPI
- 1578739736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatopathology (Pathology) Physician 207ZD0900X
- License
- 106078 (MN)
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
Interoperability endpoints
- jpimentel197272@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301091881 | MI | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 106078 | MN | Yes |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other providers in Rochester, MN
- Robert J Pignolo
- Marilyn A Pike
- Becky Pileggi
- Jay J. Pillai
- Sophia M Pillai
- Sarah Nicole Pimple
- Matthew J Pingree
- Carlos Diogenes Pinheiro Neto
- Renee Diane Pinkerton
- Kamarie Deshawn Pinkins
All providers in Rochester, MN · Dermatopathology (Pathology) Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.