Individual provider Active NPI

Katherine Eileen Obermire, MD

  • Surgery Physician
  • Edina, MN
National Provider Identifier
1336409978
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MT201298 Issued in PA
Practice address
6405 France Ave S
Edina, MN 55435-2163
Phone
(952) 929-6994
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35.150148 OH
Surgery Physician 208600000X MT201298 PA Primary

Addresses

Primary practice location

6405 France Ave S
Edina, MN 55435-2163

Mailing address

6968 Rockspring LN
Highland, CA 92346-5499
Phone (951) 217-2619

Other names 1

  • Katherine Eileen Hawkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240722003406 OH Practitioner - Vascular SurgeryPractitioner - General Surgery 4880992346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT201298PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Surgery CurrentSince May 1, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Healtheast Care System CurrentSince Jan 27, 2020 Accepting new patients
Fairview Clinics CurrentSince Jan 27, 2020 Accepting new patients
The Metrohealth System CurrentSince May 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Jul 25, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Jan 27, 2020 Accepting new patients
Healtheast St. John'S Hospital CurrentSince Jan 27, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Jun 13, 2020 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Jan 27, 2020 Accepting new patients
Fairview Health Services CurrentSince Jul 25, 2019 Accepting new patients
Fairview Bethesda Hospital CurrentSince Jan 27, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

6405 France Ave S
Ste 440
Edina, MN 55435
Phone (952) 927-7004

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6405 France Ave S
Minneapolis, MN 55435
Phone (952) 924-9005

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: kobermire275986@direct.metrohealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1336409978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6968 ROCKSPRING LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465499",
            "telephone_number": "951-217-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352163",
            "telephone_number": "952-929-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMIRE",
        "first_name": "KATHERINE",
        "middle_name": "EILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.150148",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT201298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HAWKINS",
            "middle_name": "EILEEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.