Individual provider Active NPI

Amanda Marie Kleppe, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
National Provider Identifier
1336678689
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
70975 Issued in MN
Practice address
2355 Hwy 36 W
Ste. 100
Roseville, MN 55113
Phone
(651) 292-2000
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 70975 MN Primary

Addresses

Primary practice location

2355 Hwy 36 W
Ste. 100
Roseville, MN 55113

Mailing address

2355 Hwy 36 W.
Ste. 100
Roseville, MN 55113
Phone (651) 292-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200721004289 ND Practitioner - Diagnostic Radiology 7416226477 Reassigns benefits to 3 organizations
I20230713002262 MN Practitioner - Diagnostic Radiology 7416226477 Reassigns benefits to 22 organizations
I20230810004215 WI Practitioner - Diagnostic Radiology 7416226477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians

Practice addresses (Care Compare)

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 292-2000

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 292-2000

927 Churchhill St W
Stillwater, MN 55082-6605
Phone (651) 292-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Fairview Express Care CurrentSince May 31, 2023 Accepting new patients
Fairview Clinics CurrentSince May 31, 2023 Accepting new patients
St. Croix Regional Medical Center CurrentSince Aug 1, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Current Accepting new patients
St Josephs Hospital and Health Center CurrentSince Aug 1, 2023 Accepting new patients
P R Health Corporation Current Accepting new patients
Allina Health System CurrentSince Aug 1, 2023 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Altru Health System CurrentSince Aug 15, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2023 Accepting new patients
St. Croix Regional Medical Center CurrentSince Aug 1, 2023 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Fairview Health Services CurrentSince May 31, 2023 Accepting new patients
Suburban Imaging, LLC CurrentSince Aug 1, 2023 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Jan 1, 2025 Accepting new patients
Madison Healthcare Services CurrentSince Apr 19, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Aug 1, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
Pembina County Memorial Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Allina Health System CurrentSince Aug 1, 2023 Accepting new patients
Fairview Health Services CurrentSince May 31, 2023 Accepting new patients
Allina Health System CurrentSince Aug 1, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 1, 2023 Accepting new patients
Allina Health System CurrentSince Aug 1, 2023 Accepting new patients
Fairview Clinics Current Accepting new patients
Towner County Medical Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Fairview Express Care CurrentSince May 31, 2023 Accepting new patients
Midwest Radiology, PA Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Fairview Clinics CurrentSince May 31, 2023 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
Allina Health System CurrentSince Aug 1, 2023 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Altru Health System CurrentSince Aug 15, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Feb 1, 2025 Accepting new patients
Lutheran Charity Association Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Dec 23, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Range Regional Health Services Current Accepting new patients
Ridgeview Medical Center Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Aug 1, 2023 Accepting new patients

Locations (25 of 42)

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

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

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

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

14500 99th Ave N
Ste LL200
Maple Grove, MN 55369
Phone (763) 898-1000

8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

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

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

Organizations & group practices 51

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 51

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1336678689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W.",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HWY 36 W",
            "address_2": "STE. 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPPE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "70975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.