Individual provider Active NPI

Kessiena Aya, DO

  • Orthopaedic Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1588047096
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
592772 Issued in TX
Practice address
95 S 10TH St Apt 1107TH
Minneapolis, MN 55403-2431
Phone
(320) 480-0001
Fax
(320) 525-1234
NPI assigned
Jul 1, 2015
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 592772 TX Primary

Addresses

Primary practice location

95 S 10TH St Apt 1107TH
Minneapolis, MN 55403-2431

Mailing address

1873 10TH Ave E Apt 218
Alexandria, MN 56308-2646
Phone (320) 480-0001

Other practice location 1

1601 Highway 13 E Ste 211
Burnsville, MN 55337-5105
Phone (952) 405-9760

Other practice location 2

6600 Highway 29 S
Alexandria, MN 56308-6196
Phone (952) 405-9760

Other practice location 3

1873 10th Ave E Apt 218
Alexandria, MN 56308-2646
Phone (320) 480-0001

Other names 1

  • Kessiena Aya Former name

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
I20220104000770 MN Practitioner - Orthopedic Surgery 7911398896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Touro Un Col of Osteopathic Medicine, New York, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rejuv Medical PAGroup PAC ID 2264598077, 15 clinicians

Practice addresses (Care Compare)

901 3Rd St N
Waite Park, MN 56387-1964
Phone (320) 217-8480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
88.07
Promoting interoperability
100
Improvement activities
40
Cost
74.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
592772TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuv Medical, P.a. CurrentSince Aug 20, 2024 Accepting new patients
Sunny S. Kim, MD PA CurrentSince Feb 1, 2022 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Sunny S. Kim, MD PA Orthopaedic Surgery CurrentSince Feb 1, 2022 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Dr Kessiena Aya LLC Orthopaedic Surgery CurrentSince Dec 1, 2024 Accepting new patients

Locations

6600 State Highway 29 S
Alexandria, MN 56308
Phone (320) 763-8888

1601 Highway 13 E
Ste 100
Burnsville, MN 55337
Phone (320) 763-8888

1601 Highway 13 E
Ste 211
Burnsville, MN 55337
Phone (320) 763-8888

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

7373 France Ave S
Ste 606
Minneapolis, MN 55435
Phone (612) 207-7463

901 3rd St N
Waite Park, MN 56387
Phone (320) 217-8480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kayaolabisi613143@direct.centracare.com
  • Direct secure messaging: kessiena.aya.1@32275.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1588047096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 10TH AVE E APT 218",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082646",
            "telephone_number": "320-480-0001",
            "fax_number": "320-525-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S 10TH ST APT 1107TH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032431",
            "telephone_number": "320-480-0001",
            "fax_number": "320-525-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Highway 13 E Ste 211",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375105",
            "country_code": "US",
            "telephone_number": "952-405-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Highway 29 S",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563086196",
            "country_code": "US",
            "telephone_number": "952-405-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1873 10th Ave E Apt 218",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563082646",
            "country_code": "US",
            "telephone_number": "320-480-0001",
            "fax_number": "320-525-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYA",
        "first_name": "KESSIENA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "592772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESSIENA",
            "last_name": "AYA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.