Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1275948275
Matthew CossackM.D.
Active
NPI Number1275948275
NPI TypeNPI-1 Individual
SpecialtyOphthalmology
Provider Details
NPI1275948275
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-06-27
Last Updated2023-03-13
Mailing Address1702 University Dr S
Fargo, ND 58103-4940
United States
Phone: (701) 364-4222
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Primary Practice Address401 Phalen Blvd
Saint Paul, MN 55130-5302
United States
Phone: (651) 254-7500
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MO2015017084MO License
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207R00000X – Internal MedicineNE7191
No207W00000X – OphthalmologyMO2015017084
No207W00000X – OphthalmologyWI69145
Yes207W00000X – OphthalmologyMN63750
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About NPI 1275948275

Matthew Cossack M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275948275. The primary specialty listed is Ophthalmology. The provider is located in Saint Paul, MN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-06-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1275948275?

NPI 1275948275 belongs to Matthew Cossack M.D., a Ophthalmology in Saint Paul, MN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1275948275 active?

The current status of NPI 1275948275 in the NPPES registry is Active. The record was last updated on 2023-03-13.

What specialty is NPI 1275948275?

NPI 1275948275 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1275948275?

You can verify NPI 1275948275 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1275948275?

The primary practice address on file for NPI 1275948275 is 401 Phalen Blvd, Saint Paul, MN 55130-5302. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1275948275 issued?

NPI 1275948275 was first issued (enumerated) on 2014-06-27. The NPPES record was last updated on 2023-03-13.

Practice Location Map

Matthew Cossack is located at 401 Phalen Blvd, Saint Paul, MN. Use the map below to find directions or verify the practice location.

📍 401 Phalen Blvd, Saint Paul, MN 55130-5302  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Matthew Cossack. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1275948275. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine7191NE
Ophthalmology2015017084MO
Ophthalmology69145WI
Ophthalmology63750MN
Data Verified from CMS NPPES Last synced: 2026-07-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162