NPIMap

Individual provider Active NPI

Dania A. Kamp, M.D.

  • Family Medicine Physician
  • Moose Lake, MN
National Provider Identifier
1386647980
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47303 Issued in MN
Practice address
4570 Cty. Hwy. 61
Moose Lake, MN 55767
Phone
(218) 485-4491
Fax
(218) 485-4724
NPI assigned
May 27, 2005
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47303 MN Primary

Addresses

Primary practice location

4570 Cty. Hwy. 61
Moose Lake, MN 55767

Mailing address

4570 Cty. Hwy. 61
Moose Lake, MN 55767
Phone (218) 485-4491

Other identifiers 1

IdentifierTypeStateIssuer
315471800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000372 MN Practitioner - Family Practice 1456318955 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4570 Cty Hwy 61
Moose Lake, MN 55767-9401
Phone (218) 485-4491

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake View Memorial Hospital, Inc CurrentSince Aug 3, 2025 Accepting new patients
Gateway Family Health Clinic, LTD. Family Medicine CurrentSince Aug 30, 2004 Accepting new patients
Gateway Family Health Clinic, LTD. Current Accepting new patients
Lake View Memorial Hospital, Inc. Family Medicine CurrentSince Jan 4, 2025 Accepting new patients
Lake View Memorial Hospital, Inc. CurrentSince Jan 4, 2025 Accepting new patients
Essentia Health Moose Lake Past Accepting new patients
Gateway Family Health Clinic, LTD. Family Medicine Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

707 Lundorff Dr
#1
Sandstone, MN 55072
Phone (320) 245-2250

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

Interoperability endpoints

  • Direct secure messaging: dania.kamp.kamda@lkv.direct.slhduluth.com
  • Direct secure messaging: dania.kamp@gfhc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDGJBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gateway Family Health Clinic, LTD.Sandstone, MN, CCN 243859 Rural health clinic 5% Or Greater Direct Ownership Interest (9.09%)
General Partnership Interest (9.09%)
Corporate Officer
Corporate Director
W-2 Managing Employee (9.09%)		 Feb 1, 2006
Feb 1, 2006
Jan 1, 2018
Aug 30, 2004
Feb 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Gateway Family Health Clinic, LTD.
    • Rural Health Clinic/Center
    • Sandstone, MN
    • NPI 1790772259

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, General Partnership Interest, W-2 Managing Employee

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1386647980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 CTY. HWY. 61",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "55767",
            "telephone_number": "218-485-4491",
            "fax_number": "218-485-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 CTY. HWY. 61",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "55767",
            "telephone_number": "218-485-4491",
            "fax_number": "218-485-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMP",
        "first_name": "DANIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315471800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moose Lake, MN

Sources for this page

Verify at the official NPI Registry.