Individual provider Active NPI

Kendra Kamlitz, MD

  • Surgery Physician
  • Watertown, SD
National Provider Identifier
1518279223
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9596 Issued in SD
Practice address
1201 Mickelson Dr
Watertown, SD 57201-7231
Phone
(605) 882-7000
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7552 KS
Surgery Physician 208600000X 9596 SD Primary

Addresses

Primary practice location

1201 Mickelson Dr
Watertown, SD 57201-7231

Mailing address

1201 Mickelson Dr
PO Box 1210
Watertown, SD 57201-7231
Phone (605) 882-7000

Other practice location 1

800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (507) 238-8100

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
I20160509001593 MN Practitioner - General Surgery 3678722493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Dakota School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windom Area HospitalGroup PAC ID 7113911272, 21 clinicians

Practice addresses (Care Compare)

2150 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-0618

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7552KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Windom Ambulance Current Accepting new patients
Windom Area Hospital CurrentSince Dec 1, 2024 Accepting new patients
Windom Area Hospital CurrentSince Dec 1, 2024 Accepting new patients
Windom Area Hospital Current Accepting new patients
County of Murray Past Accepting new patients

Locations

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

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

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1518279223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICKELSON DR",
            "address_2": "PO BOX 1210",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017231",
            "telephone_number": "605-882-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICKELSON DR",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017231",
            "telephone_number": "605-882-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "MN",
            "postal_code": "560314575",
            "country_code": "US",
            "telephone_number": "507-238-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMLITZ",
        "first_name": "KENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "7552",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "9596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.