Individual provider Active NPI

Steven E Kempers, M.D.

  • Specialist
  • Fridley, MN
National Provider Identifier
1003852427
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30466 Issued in MN
Practice address
7205 University Ave NE
Fridley, MN 55432-3134
Phone
(763) 571-4000
Fax
(763) 571-7202
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30466 MN Primary

Addresses

Primary practice location

7205 University Ave NE
Fridley, MN 55432-3134

Mailing address

7205 University Ave NE
Fridley, MN 55432-3134
Phone (763) 571-4000

Other identifiers 1

IdentifierTypeStateIssuer
619593800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000953 MN Practitioner - Dermatology 4082515630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Skin Care Specialists, PAGroup PAC ID 8921908047, 18 clinicians

Practice addresses (Care Compare)

11107 Ulysses St NE
Suite 200
Blaine, MN 55434-4264
Phone (763) 571-4000

Merit-based Incentive Payment System (MIPS)

Final score
82.79 of 100Reported as group
Quality
53.64
Promoting interoperability
100
Improvement activities
40
Cost
88.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions55
Skin biopsy18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Skin Care Specialists, PA Specialist CurrentSince Aug 1, 1989 Accepting new patients
Associated Skin Care Specialists Current Accepting new patients

Locations

11107 Ulysses St NE
Ste 200
Blaine, MN 55434
Phone (763) 571-4000

500 Osborne Rd NE
Ste 330
Fridley, MN 55432
Phone (763) 571-4000

7205 University Ave NE
Minneapolis, MN 55432
Phone (612) 298-7636

119 14th St NW
Ste 240
Saint Paul, MN 55112

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1003852427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323134",
            "telephone_number": "763-571-4000",
            "fax_number": "763-571-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323134",
            "telephone_number": "763-571-4000",
            "fax_number": "763-571-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPERS",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "30466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "619593800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.