Individual provider Active NPI

Thomas J Klemond, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Minneapolis, MN
National Provider Identifier
1144226481
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
49169 Issued in MN
Practice address
701 Park Ave FL 5
Minneapolis, MN 55415-1623
Phone
(612) 873-2723
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 49169 MN Primary

Addresses

Primary practice location

701 Park Ave FL 5
Minneapolis, MN 55415-1623

Mailing address

701 Park Ave FL 5
Minneapolis, MN 55415-1623
Phone (612) 873-2723

Other practice location 1

7650 Zane Ave N
Brooklyn Park, MN 55443-3151
Phone (612) 873-6963

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
I20100602001043 MN Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 0345379244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
University of Minnesota Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

  • Mvna Home health agency, Minneapolis, MN, CCN 247008
  • Hennepin County Medical Center Hospital, Minneapolis, MN, CCN 240004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49169MNMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Clinic LTD CurrentSince Jan 9, 2010 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince May 15, 2017 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jan 9, 2010 Accepting new patients
Hennepin Healthcare System Inc CurrentSince May 15, 2017 Accepting new patients
Villas at Richfield LLC Past Accepting new patients
Hennepin Faculty Associates Past Accepting new patients

Locations

701 Park Ave
Fl 5
Minneapolis, MN 55415
Phone (612) 347-5871

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

7650 Zane Ave N
Minneapolis, MN 55443
Phone (612) 873-0000

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

Organizations & group practices 6

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1144226481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE FL 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE FL 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7650 Zane Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554433151",
            "country_code": "US",
            "telephone_number": "612-873-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEMOND",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MN",
            "license": "49169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.