Active NPI
Danya M. Kiydal, M.D.
- Occupational Medicine Physician
- Rochester, MN
National Provider Identifier
1063947729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 76912
- Practice address
- 210 9TH St SE Ste 1
Rochester, MN 55904-6400 - Phone
- (507) 292-7144
- NPI assigned
- May 1, 2017
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01086744A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Occupational Medicine Physician | 2083X0100X | 76912 | MN | Primary |
Addresses
Primary practice location
210 9TH St SE Ste 1
Rochester, MN 55904-6400
Mailing address
4501 Acorn LN NW
Rochester, MN 55901-7798
Phone (352) 653-8683
Other names 1
- Danya Loutfi
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76912 | MN | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olmsted Medical Center | Current | Accepting new patients | |
| Olmsted Medical Center | Current | Accepting new patients |
Locations
210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616
1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485
210 9th St SE
Ste 1
Rochester, MN 55904
Phone (507) 292-7144
Interoperability endpoints
- dkiydal24023@direct.olmmed.org
- dkiydal13446@middlesexhealthprd.direct-ci.com
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.
-
- Clinic/Center
- Rochester, MN
- NPI 1952356297
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1538112131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1063947729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 ACORN LN NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559017798",
"telephone_number": "352-653-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 9TH ST SE STE 1",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046400",
"telephone_number": "507-292-7144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIYDAL",
"first_name": "DANYA",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01086744A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MN",
"license": "76912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANYA",
"last_name": "LOUTFI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.