Individual provider Active NPI

Kelly J Doolittle, MD

  • Anesthesiology Physician
  • Rochester, MN
National Provider Identifier
1306132709
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11522 Issued in SD
Practice address
200 1St St SW
Rochester, MN 55905-3700
Phone
(507) 284-2511
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 55349 MN
Anesthesiology Physician 207L00000X 11522 SD Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-3700

Mailing address

1000 W 4TH St
Ste 13
Yankton, SD 57078-3700
Phone (507) 284-2511

Other practice location 1

1000 W 4th St Ste 13
Yankton, SD 57078-3700
Phone (605) 668-8795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120920000600 MN Practitioner - Anesthesiology 0749438455 Reassigns benefits to 1 organization
I20190703002031 SD Practitioner - Anesthesiology 0749438455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Sanford School of Medicine of University of South Dakota, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians
Anesthesia Physicians LTDGroup PAC ID 9133111438, 23 clinicians

Practice addresses (Care Compare)

1000 W 4TH St
Suite 8
Yankton, SD 57078-3700

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 386-1084

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

Hospital & facility affiliations

  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11522SDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physicians LTD Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Yankton Anesthesiology, PC Anesthesiology CurrentSince Jul 15, 2019 Accepting new patients
Mayo Clinic CurrentSince Jun 30, 2012 Accepting new patients
Mayo Clinic Current Accepting new patients
Sacred Heart Health Services CurrentSince Nov 1, 2023 Accepting new patients
Sacred Heart Health Services CurrentSince Nov 1, 2023 Accepting new patients
Mayo Clinic CurrentSince Jun 30, 2012 Accepting new patients

Locations

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1508 W 22nd St
Sioux Falls, SD 57105
Phone (605) 328-3000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1000 W 4th St
Ste 13
Yankton, SD 57078
Phone (605) 668-8795

409 Summit St
Ste 3400
Yankton, SD 57078
Phone (605) 260-0310

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 8

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1306132709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "STE 13",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559053700",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W 4th St Ste 13",
            "address_purpose": "LOCATION",
            "city": "Yankton",
            "state": "SD",
            "postal_code": "570783700",
            "country_code": "US",
            "telephone_number": "605-668-8795",
            "fax_number": "605-668-8795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "55349",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SD",
            "license": "11522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.