Individual provider Active NPI

Daniel E Kendrick, MD

  • Surgical Critical Care Physician
  • Minneapolis, MN
National Provider Identifier
1730479882
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
68030 Issued in MN
Practice address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone
(612) 672-6000
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 68030 MN
Surgical Critical Care Physician 2086S0102X 68030 MN Primary

Addresses

Primary practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Mailing address

6285 Ridge Rd
Chanhassen, MN 55317-9438
Phone (315) 383-3579

Other practice location 1

777 S Main St
Chelsea, MI 48118-1367
Phone (734) 593-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200814000110 MN Practitioner - Critical Care (Intensivists) 7517212004 Reassigns benefits to 10 organizations
I20200819002810 MN Practitioner - General Surgery 7517212004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
State University of Ny Upstate Medical University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-7422

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

3366 Oakdale Ave N
Suite 200
Robbinsdale, MN 55422-2962
Phone (763) 520-5200

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 273-8383

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313

919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as group
Quality
82.65
Promoting interoperability
100
Improvement activities
40
Cost
77.21

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
79.17
Promoting interoperability
100
Improvement activities
40
Cost
73.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Clinics Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Sep 8, 2020 Accepting new patients
The Metrohealth System Current Accepting new patients
Fairview Bethesda Hospital CurrentSince Aug 6, 2020 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
North Memorial Health Care CurrentSince Aug 7, 2020 Accepting new patients
North Memorial Health Care CurrentSince Aug 7, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Aug 6, 2020 Accepting new patients
North Memorial Health Care Current Accepting new patients
Healtheast St. John'S Hospital CurrentSince Aug 6, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Aug 6, 2020 Accepting new patients
Fairview Express Care CurrentSince Sep 8, 2020 Accepting new patients
Fairview Express Care CurrentSince Sep 8, 2020 Accepting new patients
University of Minnesota Physicians CurrentSince Sep 8, 2020 Accepting new patients
Healtheast Care System CurrentSince Aug 6, 2020 Accepting new patients
Fairview Clinics CurrentSince Aug 6, 2020 Accepting new patients
Fairview Clinics CurrentSince Aug 6, 2020 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Sep 8, 2020 Accepting new patients
Fairview Health Services CurrentSince Aug 6, 2020 Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Aug 6, 2020 Accepting new patients
West Michigan Radiation Oncology PastSince Sep 1, 2019 Accepting new patients

Locations

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

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

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

909 Fulton St SE
Ste 214
Minneapolis, MN 55455

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

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

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

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

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

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 200
Robbinsdale, MN 55422
Phone (763) 287-5000

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

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

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

Interoperability endpoints

  • Direct secure messaging: dkendrick507956@fairview.direct-ci.com
  • Direct secure messaging: dkendrick46131@direct.metrohealth.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 7

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1730479882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 RIDGE RD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179438",
            "telephone_number": "315-383-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-672-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181367",
            "country_code": "US",
            "telephone_number": "734-593-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "68030",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MN",
            "license": "68030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.