Mustafa Kendi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

51961 Issued in MN

Practice address

425 Broadway Ave S Apt 619
Rochester, MN 55904-6977

Phone

(218) 565-6200

Fax

(651) 431-7697

NPI assigned

Jun 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381
  Medicare reassignment NPD
• Emory Medical Care Foundation Inc

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1073779591
  NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739
  NPD

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1376779900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADWAY AVE S APT 619",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046977",
            "telephone_number": "218-565-6200",
            "fax_number": "651-431-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROADWAY AVE S APT 619",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046977",
            "telephone_number": "218-565-6200",
            "fax_number": "651-431-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDI",
        "first_name": "MUSTAFA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "51961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leah Kemppainen, MS, CGC
• Ken Wadum, Ed.D. LP
• Maral D Kenderian, MD
• Saad J Kenderian, MD
• Vera Kenderian, DDS
• Kendra R Henry LLC
• Michael L Kendrick, M.D.
• Ryan William Kendziora, MD
• April M Kennedy, CRNA
• Cassie C Kennedy, M.D.

• Psychiatry Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.