Individual provider Active NPI

Kerri Lyn Harting, MD

  • Diagnostic Radiology Physician
  • Plymouth, MN
National Provider Identifier
1487674040
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
60763 Issued in MN
Practice address
2800 Campus Dr Ste 20
Plymouth, MN 55441-2669
Phone
(763) 398-6383
NPI assigned
Jul 19, 2006
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 60763 MN Primary

Addresses

Primary practice location

2800 Campus Dr Ste 20
Plymouth, MN 55441-2669

Mailing address

2800 Campus Dr Ste 10
Plymouth, MN 55441-8812
Phone (763) 398-4400

Other identifiers 1

IdentifierTypeStateIssuer
201223401MedicaidMO

Other names 1

  • Dr. Kerri Lyn Dias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, ND3 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
I20160620002332 MN Practitioner - Diagnostic Radiology 8022016906 Reassigns benefits to 15 organizations
I20220608003404 WI Practitioner - Diagnostic Radiology 8022016906 Reassigns benefits to 4 organizations
I20220930002819 ND Practitioner - Diagnostic Radiology 8022016906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Southern Illinois University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians
Hudson Imaging Partners LLCGroup PAC ID 1557734225, 29 clinicians
Minnesota Diagnostic Imaging Partners LLCGroup PAC ID 5890681209, 32 clinicians

Practice addresses (Care Compare)

1013 Hart Blvd
Monticello, MN 55362-8575
Phone (763) 271-2288

15450 Hwy 7
Minnetonka, MN 55345-3522
Phone (763) 581-8900

15450 Hwy 7 100
Minnetonka, MN 55345-3522
Phone (763) 581-8900

1700 Hwy 25 N
Buffalo, MN 55313-1930
Phone (763) 398-8710

2600 39TH Ave NE
Minneapolis, MN 55421-4379
Phone (763) 581-5500

2651 Hillcrest Dr
Suite 103
Hudson, WI 54016-9919
Phone (763) 559-2171

2800 Campus Dr
Suite 30
Plymouth, MN 55441-2669
Phone (763) 398-6390

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 520-2770

4209 Webber Pkwy
Minneapolis, MN 55412-1747
Phone (763) 581-5750

480 Osborne Rd NE
Fridley, MN 55432-2773
Phone (763) 581-0600

5615 Xerxes Ave N
Suite D
Brooklyn Center, MN 55430-2820
Phone (763) 581-5630

800 Freeport Ave NW
Suite 100
Elk River, MN 55330-2723
Phone (763) 581-5200

8100 42ND Ave N
New Hope, MN 55427-1107
Phone (763) 581-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jul 1, 2016 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Altru Health System Current Accepting new patients
West Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Park Nicollet Clinic CurrentSince Jun 1, 2022 Accepting new patients
Altru Health System CurrentSince Jul 1, 2022 Accepting new patients
Towner County Medical Center Inc CurrentSince Jul 20, 2022 Accepting new patients
Altru Health System CurrentSince Jul 1, 2022 Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Fairview Clinics Current Accepting new patients
Hudson Imaging Partners LLC Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
St. Francis Regional Medical Center CurrentSince May 26, 2019 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System Current Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Mar 30, 2019 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Dec 7, 2022 Accepting new patients
Fairview Express Care CurrentSince Jun 1, 2022 Accepting new patients
P R Health Corporation Current Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Sep 16, 2018 Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2022 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Park Nicollet Clinic CurrentSince Jun 1, 2022 Accepting new patients
Fairview Health Services CurrentSince Jun 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Jun 1, 2022 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2022 Accepting new patients
Minneapolis Radiology Associates, LTD. Diagnostic Radiology CurrentSince Dec 17, 2023 Accepting new patients
Minnesota Diagnostic Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 17, 2023 Accepting new patients
Allina Health System CurrentSince Jul 1, 2016 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology Past Accepting new patients
Quest Diagnostics LLC Il PastSince Sep 16, 2018 Accepting new patients

Locations (25 of 38)

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

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

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

3955 Parklawn Ave
Ste 100
Edina, MN 55435
Phone (952) 285-3722

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

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

9855 Hospital Dr
Ste 150
Maple Grove, MN 55369
Phone (763) 398-6341

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

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

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

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

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

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

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

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

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

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

2800 Campus Dr
Ste 10
Plymouth, MN 55441
Phone (763) 398-4400

2800 Campus Dr
Ste 20
Plymouth, MN 55441
Phone (763) 398-8700

2800 Campus Dr
Ste 30
Plymouth, MN 55441
Phone (763) 398-2203

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

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 215
Robbinsdale, MN 55422
Phone (612) 588-4625

Organizations & group practices 38

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.

View all 38

Hospital & facility affiliations 6

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1487674040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR STE 10",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554418812",
            "telephone_number": "763-398-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR STE 20",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412669",
            "telephone_number": "763-398-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTING",
        "first_name": "KERRI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "60763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201223401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "DIAS",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.