NPIMap

Individual provider Active NPI

Kendra Dodd, M.D.

  • Emergency Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1083076681
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
65131 Issued in MN
Practice address
800 E 28TH St # Mr 11122
Minneapolis, MN 55407-3799
Phone
(612) 863-6590
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 65131 MN Primary

Addresses

Primary practice location

800 E 28TH St # Mr 11122
Minneapolis, MN 55407-3799

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279
Phone (612) 863-6590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620003430 MN Practitioner - Emergency Medicine 2567755689 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Care Consultants PAGroup PAC ID 5496640161, 105 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

200 State Ave
Faribault, MN 55021-6339
Phone (507) 334-6451

2855 Campus Dr
Plymouth, MN 55441-2649
Phone (763) 577-7160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.56
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65131MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Current Accepting new patients
Range Regional Health Services CurrentSince Mar 15, 2020 Accepting new patients
Ecc Addiction & Toxicology Services LLC CurrentSince Jun 21, 2022 Accepting new patients
Allina Health System CurrentSince Aug 1, 2019 Accepting new patients
Childrens Health Care CurrentSince Mar 1, 2020 Accepting new patients
Allina Health System Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince May 1, 2020 Accepting new patients
Range Regional Health Services CurrentSince Mar 15, 2020 Accepting new patients
Emergency Care Consultants, PA Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Childrens Health Care CurrentSince Mar 1, 2020 Accepting new patients
Cuyuna Regional Medical Center Current Accepting new patients
Cuyuna Regional Medical Center CurrentSince May 1, 2020 Accepting new patients

Locations

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

800 E 28th St
#11122
Minneapolis, MN 55407
Phone (612) 863-6590

2829 University Ave SE
Ste 730
Minneapolis, MN 55414
Phone (612) 439-1868

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

800 E 28th St
#11112
Minneapolis, MN 55407
Phone (612) 863-4233

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

2250 NW 26th St
Owatonna, MN 55060
Phone (507) 451-3850

2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Organizations & group practices 12

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1083076681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY AVE SE STE 730",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143279",
            "telephone_number": "612-863-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST # MR 11122",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073799",
            "telephone_number": "612-863-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "KENDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "65131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.