Active NPI
Michael McLean Kearney, M.D.
- Orthopaedic Surgery Physician
- Mankato, MN
National Provider Identifier
1427021989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22389
- Practice address
- 1431 Premier Drive
Mankato, MN 56001-6076 - Phone
- (507) 386-6600
- Fax
- (507) 625-5971
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 22389 | MN | Primary |
Addresses
Primary practice location
1431 Premier Drive
Mankato, MN 56001-6076
Mailing address
1431 Premier Drive
Mankato, MN 56001-6076
Phone (507) 386-6600
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0901562 | Other | MN | MEDICA, MANKATO |
| 410940705H011 | Other | MN | TRICARE/WPS |
| 983181004372 | Other | MN | PREFERRED ONE |
| 120085C572 | Other | MN | UCARE |
| HP18799 | Other | MN | HEALTH PARTNERS |
| 0900816 | Other | MN | MEDICA, ST. PETER |
| 0920985 | Other | MN | MEDICA, ST. PETER HOSP |
| 894295100 | Medicaid | MN | |
| 41352KE | Other | MN | BCBS OF MN |
| 907645 | Other | MN | MEDICA, WASECA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1427021989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 PREMIER DRIVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600",
"fax_number": "507-625-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 PREMIER DRIVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016076",
"telephone_number": "507-386-6600",
"fax_number": "507-625-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "MICHAEL",
"middle_name": "MCLEAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "22389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA, MANKATO",
"identifier": "0901562",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/WPS",
"identifier": "410940705H011",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "983181004372",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "120085C572",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP18799",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA, ST. PETER",
"identifier": "0900816",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA, ST. PETER HOSP",
"identifier": "0920985",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "894295100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "41352KE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA, WASECA",
"identifier": "907645",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.