Timothy Charles Kleinschmidt, MD
Individual provider Active NPI Internal Medicine Physician · Duluth, MN
NPI 1245280601 · NPPES record last updated Dec 4, 2020
Key facts
- NPI
- 1245280601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 40562 (MN)
- Practice address
- 1001 E Superior St
Ste L401
Duluth, MN 55802-2207 - Phone
- (218) 249-7960
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 37
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St. Luke'S Hospital of Duluth
Polinsky Medical Rehabilitation Center
Practice addresses (Care Compare)
1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860
1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360
Hospital & facility affiliations
- Aspirus St. Luke'S at Home - Home Care - Duluth
- Ecumen Home Care Lakeshore
- Centerwell Home Health
- Aveanna Home Health
- Aspirus St. Luke'S at Home-Hospice-Duluth
- St Lukes Hospital
- Community Memorial Hospital
- Aspirus Lake View Hospital
- Tamarack Health Ashland Medical Center
- Essentia Health Duluth
- Villa Marina Health and Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Villa Marina Health and Rehabilitation |
Skilled nursing facility | Adp of the SNF | Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040614000713 | WI | Practitioner - Internal Medicine | 4981688553 | Reassigns benefits to 1 organization |
| I20091230000162 | MN | Practitioner - Internal Medicine | 4981688553 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40562 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| Lake View Memorial Hospital, Inc | Current |
Accepting new patients | |
| Lake View Memorial Hospital, Inc. | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1001 E Superior St
Ste L401
Duluth, MN 55802
Phone (218) 249-7960
1001 E Superior St
Ste 401
Duluth, MN 55802
Phone (218) 249-6523
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
Interoperability endpoints
- him@slk.direct.slhduluth.com
- tkleinschmidt237476@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40562 | MN | Yes |
Addresses
Primary practice location
1001 E Superior St
Ste L401
Duluth, MN 55802-2207
Mailing address
1001 E Superior St
Ste L401
Duluth, MN 55802-2207
Phone (218) 249-7960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 963819900 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Other providers in Duluth, MN
- Jessica Ruth Klasen
- Kathleen Marie Klavu
- Laura Marie Kleffman
- Jennifer Kleiman
- Kelly Marie Kleinschmidt
- Alexandra Genevieve Kleven
- Kenzie Kleven
- Matt Kleven
- Brian David Klocke
- Kelle Marie Klocke
All providers in Duluth, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.