Individual provider Active NPI

Justin Kane, M.D., PH.D.

  • Emergency Medicine Physician
  • Worthington, MN
National Provider Identifier
1487885745
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
53709 Issued in MN
Practice address
1018 6TH Ave
Worthington, MN 56187-2202
Phone
(507) 372-2941
NPI assigned
Aug 5, 2009
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 53709 MN Primary
Hospitalist Physician 208M00000X 53709 MN

Addresses

Primary practice location

1018 6TH Ave
Worthington, MN 56187-2202

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-8463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20110318000594 MN Practitioner - Internal MedicinePractitioner - Emergency Medicine 1850574443 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

Practice addresses (Care Compare)

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Windom Area Hospital Hospitalist CurrentSince Apr 16, 2022 Accepting new patients
Fairview Bethesda Hospital CurrentSince May 3, 2020 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince May 3, 2020 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Mar 1, 2020 Accepting new patients
Healtheast St. John's Hospital CurrentSince May 3, 2020 Accepting new patients
Sanford Health Network Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 1, 2020 Accepting new patients
Healtheast Care System CurrentSince May 3, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Madelia Health CurrentSince Oct 11, 2025 Accepting new patients
Sanford Health Network Emergency Medicine Current Accepting new patients
Fairview Health Services CurrentSince Sep 3, 2011 Accepting new patients
Windom Area Hospital CurrentSince Apr 16, 2022 Accepting new patients
Fairview Health Services Hospitalist CurrentSince Sep 3, 2011 Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

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

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: jkane220828@fairview.direct-ci.com

Organizations & group practices 18

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 18

Hospital & facility affiliations 5

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1487885745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 6TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872202",
            "telephone_number": "507-372-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 France Ave S",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352104",
            "country_code": "US",
            "telephone_number": "952-924-8463",
            "fax_number": "952-924-8358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "JUSTIN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "53709",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "53709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

Verify at the official NPI Registry.