Active NPI
Kenneth M Ripp, M.D.
- Family Medicine Physician
- Cloquet, MN
National Provider Identifier
1245312537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38473
- Practice address
- 417 Skyline Blvd
Cloquet, MN 55720-1164 - Phone
- (218) 879-1271
- Fax
- (218) 879-8904
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38473 | MN | Primary |
Addresses
Primary practice location
417 Skyline Blvd
Cloquet, MN 55720-1164
Mailing address
417 Skyline Blvd
Cloquet, MN 55720-1164
Phone (218) 879-1271
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892025700 | Medicaid | MN | |
| 0102377 | Other | MN | MEDICA |
| 8D694RI | Other | MN | BLUES & FIRST PLAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kenneth.ripp@rcll.eclinicaldirectplus.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Miller Trunk Hwy
BLDG C
Duluth, MN 55811-5640
Phone (218) 786-5360
512 Skyline Blvd
Cloquet, MN 55720-3787
Phone (218) 879-4641
Hospital & facility affiliations
- Aveanna Home Health
- Centerwell Home Health
- Aspirus St. Luke'S at Home - Home Care - Duluth
- St Croix Hospice
- Community Memorial Hospital
- St Lukes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38473 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital Association | Current | Accepting new patients |
Locations
417 Skyline Blvd
Cloquet, MN 55720
Phone (218) 879-1271
512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFEABA/Endpoint/EFEABA
- kenneth.ripp@rcll.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
-
- Rehabilitation Clinic/Center
- Duluth, MN
- NPI 1639237746
Hospital & facility affiliations 31
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Duluth, MN
- NPI 1003848375
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
-
- Home Health Agency
- Duluth, MN
- NPI 1639627391
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1245312537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201164",
"telephone_number": "218-879-1271",
"fax_number": "218-879-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201164",
"telephone_number": "218-879-1271",
"fax_number": "218-879-8904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIPP",
"first_name": "KENNETH",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "38473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892025700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0102377",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUES & FIRST PLAN",
"identifier": "8D694RI",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kenneth.ripp@rcll.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "417 Skyline Blvd",
"city": "Cloquet",
"state": "MN",
"country_code": "US",
"postal_code": "557201164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.