Mark Juckett, MD
Mark Juckett, MD is a Hematology (Internal Medicine) Physician in Minneapolis, MN, registered under NPI 1750357604. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2450 RIVERSIDE AVE, Minneapolis, MN 55454. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 35344 | WI | Hematology (Internal Medicine) Physician primary |
| 35344 | WI | Internal Medicine Physician |
| 35344 | WI | Hematology & Oncology Physician |
| 35344 | WI | Medical Oncology Physician |
This provider holds licence 35344 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Hematology/oncology
- PAC ID
- 2860557170
Medicare enrolment is recorded as approved under the provider type Practitioner - Hematology/oncology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Hematology covers
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. NUCC Health Care Provider Taxonomy, code 207RH0000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RH0000X | Hematology (Internal Medicine) Physician Hematology | 35344 | WI | primary |
| 207R00000X | Internal Medicine Physician | 35344 | WI | |
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | 35344 | WI | |
| 207RX0202X | Medical Oncology Physician Medical Oncology | 35344 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1750357604 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 28, 2006 |
| Last updated | Feb 16, 2021 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
2450 RIVERSIDE AVE Minneapolis, MN 55454 (612) 672-6000 Fax (612) 273-4098 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 5 | 0 | 3 | 5 | 7 | 6 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 6 | 5 | 5 | 6 | 0 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.