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

John J Nicotra, MD

Individual provider Pediatric Radiology Physician · NPI 1194753335

John J Nicotra, MD is a Diagnostic Radiology in Minneapolis, Minnesota. Graduated from State University of New York Downstate Medical Center in 1990, 36 years ago. Practices with Children's Health Care, a 81-clinician group. Licensed in Minnesota.

Years since qualifying
36
Trained at
State University of New York Downstate Medical Center
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 42549 (MN)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 42549 (MN)

Record details

NPI number1194753335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1990 (36 years in practice)
Group practice Children'S Health Care — 81 clinicians
Accepts Medicare assignment Not indicated

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