Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boris Davydov, PA-C

Individual provider Physician Assistant · NPI 1588177109

Boris Davydov, PA-C is a Physician Assistant in Minneapolis, Minnesota. Graduated from University of North Dakota School of Medicine in 2017, 9 years ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Trained at
University of North Dakota School of Medicine
Licensed in
MN
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7595 Anagram Dr, Eden Prairie, MN 55344-7399 — (612) 573-2200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12513 (MN)

Record details

NPI number1588177109
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2017
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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