NPIMap

Individual provider Active NPI

Kurt M Isenberger, MD

  • Emergency Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1225003882
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45346 Issued in MN
Practice address
640 Jackson St
Mc11102F
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
Fax
(651) 254-5216
NPI assigned
Feb 17, 2006
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45346 MN Primary
Emergency Medicine Physician 207P00000X 46849020 WI

Addresses

Primary practice location

640 Jackson St
Mc11102F
Saint Paul, MN 55101-2502

Mailing address

8100 34TH Ave S
Mc21110Q
Bloomington, MN 55425
Phone (952) 883-7172

Other identifiers 1

IdentifierTypeStateIssuer
512462000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040202000772 MN Practitioner - Emergency Medicine 1153224415 Reassigns benefits to 3 organizations
I20040907001300 WI Practitioner - Emergency Medicine 1153224415 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

927 Churchill W St
Stillwater, MN 55082-6605
Phone (651) 439-5330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45346MNMDEmergency Medicine Physician
46849020WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Mar 24, 2011 Accepting new patients
St. Croix Regional Medical Center CurrentSince Mar 24, 2011 Accepting new patients
Amery Regional Medical Center, Inc. Current Accepting new patients
Regions Hospital CurrentSince Jan 1, 2007 Accepting new patients
Regions Hospital Emergency Medicine CurrentSince Jan 1, 2007 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 9, 2013 Accepting new patients
Hudson Hospital, Inc. CurrentSince Dec 26, 2025 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jan 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 26, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Dec 26, 2025 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 9, 2013 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Aug 2, 2011 Accepting new patients
Group Health, Inc. Current Accepting new patients
Lakeview Memorial Hospital Association Inc. Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Aug 2, 2011 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Group Health, Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

640 Jackson St
#11102F
Saint Paul, MN 55101
Phone (651) 254-3456

1500 Curve Crest Blvd W
Stillwater, MN 55082

921 Greeley St S
Stillwater, MN 55082

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1225003882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 34TH AVE S",
            "address_2": "MC21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55425",
            "telephone_number": "952-883-7172",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "address_2": "MC11102F",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456",
            "fax_number": "651-254-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERGER",
        "first_name": "KURT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "45346",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "46849020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512462000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.