Active NPI
Christopher James Kedzie, DPM
- Podiatrist
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1155
- Practice address
- 2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243 - Phone
- (612) 625-8690
- NPI assigned
- May 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1155 | MN | |
| Podiatrist | 213E00000X | 1155 | MN | Primary |
Addresses
Primary practice location
2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Other practice location 1
1655 Beam Ave Ste 111
Maplewood, MN 55109-1475
Phone (855) 324-7843
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2945 Hazelwood St
Suite 200
Maplewood, MN 55109-1243
Phone (612) 273-3780
Hospital & facility affiliations
- M Health Fairview St John'S Hospital
- M Health Fairview Woodwinds Hospital
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.37 of 100
- Quality
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 55 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 145 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1155 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Insititue | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients |
Locations
1655 Beam Ave
Ste 111
Maplewood, MN 55109
Phone (651) 232-7770
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Interoperability endpoints
- ckedzie831193@fairview.direct-ci.com
Organizations & group practices 14
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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Foot & Ankle Surgery Podiatrist
- White Bear Lake, MN
- NPI 1467879684
-
- Eyewear Supplier
- Eagan, MN
- NPI 1750833562
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
-
- Hospitalist Physician
- Burnsville, MN
- NPI 1952499444
-
- Specialist
- Woodbury, MN
- NPI 1013696277
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1699396176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 HAZELWOOD ST STE 200",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091243",
"telephone_number": "612-625-8690"
}
],
"practiceLocations": [
{
"address_1": "1655 Beam Ave Ste 111",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551091475",
"country_code": "US",
"telephone_number": "855-324-7843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEDZIE",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-06",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MN",
"license": "1155",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MN",
"license": "1155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.