Active NPI
Aaron Kurtiss Kirkemo, M.D.
- Urology Physician
- Maplewood, MN
National Provider Identifier
1144217399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 40978
- Practice address
- 1655 Beam Ave
Suite 206
Maplewood, MN 55109-1163 - Phone
- (651) 999-6896
- Fax
- (651) 770-8268
- NPI assigned
- Oct 3, 2005
- Last updated
- May 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 40978 | MN | Primary |
Addresses
Primary practice location
1655 Beam Ave
Suite 206
Maplewood, MN 55109-1163
Mailing address
2550 University Ave W
Suite 240N
Saint Paul, MN 55114-1052
Phone (651) 999-6909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 795013600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40978 | MN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Urologic Specialists. P.a. | Past | Accepting new patients | |
| Minnesota Urology, PA | Urology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Metro Urology
- Durable Medical Equipment & Medical Supplies
- Saint Paul, MN
- NPI 1235274093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1144217399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 UNIVERSITY AVE W",
"address_2": "SUITE 240N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141052",
"telephone_number": "651-999-6909",
"fax_number": "651-297-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 BEAM AVE",
"address_2": "SUITE 206",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091163",
"telephone_number": "651-999-6896",
"fax_number": "651-770-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKEMO",
"first_name": "AARON",
"middle_name": "KURTISS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "40978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "795013600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.