Active NPI
Kendall McEachron, MD
- Surgical Critical Care Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 62188
- Practice address
- 420 Delaware St SE
Mayo Mail Code 195
Minneapolis, MN 55455-0341 - Phone
- (612) 625-6483
- NPI assigned
- May 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 62188 | MN | |
| Surgery Physician | 208600000X | 62188 | MN | |
| Surgical Critical Care Physician | 2086S0102X | 62188 | MN | Primary |
Addresses
Primary practice location
420 Delaware St SE
Mayo Mail Code 195
Minneapolis, MN 55455-0341
Mailing address
8170 33Rd Ave S
Ms 21110Q
Bloomington, MN 55425-4516
Phone (651) 495-6600
Other practice location 1
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 495-6600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Minnesota Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-6391
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Surgery | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
909 Fulton St SE
Ste 202
Minneapolis, MN 55455
Phone (612) 273-8383
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
420 Delaware St SE
Ste 195
Minneapolis, MN 55455
Phone (612) 301-9433
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- kmceachron296875@fairview.direct-ci.com
Organizations & group practices 14
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Specialist
- Saint Paul, MN
- NPI 1679048763
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Hospitalist Physician
- Edina, MN
- NPI 1770663031
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Surgery
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1053798728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "651-495-6600",
"fax_number": "952-883-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "MAYO MAIL CODE 195",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-625-6483"
}
],
"practiceLocations": [
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-495-6600",
"fax_number": "952-883-9677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCEACHRON",
"first_name": "KENDALL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-01",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MN",
"license": "62188",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "62188",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MN",
"license": "62188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.