Derik K Kenworthy, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

DO220167 Issued in OR

Practice address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Sep 22, 2009

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, KS, OR, MT, UT, CO, FL7 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 7

Specialty

Diagnostic Radiology

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspire Radiology Group LLCGroup PAC ID 2365975216, 15 clinicians

Inspire Radiology Group 2 LLCGroup PAC ID 1355870460, 23 clinicians

Gonzales Healthcare SystemsGroup PAC ID 8527963776, 35 clinicians

Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Minneola District Hospital NBR 2Group PAC ID 1355252545, shared by 5 NPIs, 31 clinicians

Dawson County Hospital DistrictGroup PAC ID 6800832155, 25 clinicians

Castro County Hospital DistrictGroup PAC ID 3870404064, shared by 6 NPIs, 29 clinicians

Ruby Valley HospitalGroup PAC ID 6406764018, shared by 4 NPIs, 18 clinicians

Kane County Human Resource Special Service DistrictGroup PAC ID 5092603316, 36 clinicians

Baker Community Health Center IncGroup PAC ID 3779689807, 25 clinicians

Lower Umpqua Hospital DistrictGroup PAC ID 6800703562, 42 clinicians

Medlink Management Services IncGroup PAC ID 2466360797, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
• Memorial Hospital Hospital, Gonzales, TX, CCN 450235
• Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346
• Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134
• Kane County Hospital Hospital, Kanab, UT, CCN 461309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dkenwort@yourcarecommunity.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Baker Community Health Center Inc

  • Emergency Medicine Physician
  • Macclenny, FL
  • NPI 1396807319

  OR

  Medicare reassignment Care Compare group NPD
• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Medicare reassignment Care Compare group NPD
• Dawson County Hospital District

  dba Medical Arts Hospital

  • Rural Acute Care Hospital
  • Lamesa, TX
  • NPI 1134108053
  Medicare reassignment Care Compare group NPD
• Delta County Memorial Hospital

  dba Delta Health

  • Rural Acute Care Hospital
  • Delta, CO
  • NPI 1417935446
  Medicare reassignment Care Compare group NPD
• Gonzales Healthcare Systems

  dba Sievers Medical Clinic

  • Rural Health Clinic/Center
  • Gonzales, TX
  • NPI 1013916287
  Medicare reassignment Care Compare group NPD
• Inspire Radiology Group 2 LLC

  • Diagnostic Radiology Physician
  • Coos Bay, OR
  • NPI 1396570644

  TX, UT

  Medicare reassignment Care Compare group NPD
• Inspire Radiology Group LLC

  • Diagnostic Radiology Physician
  • Coos Bay, OR
  • NPI 1487485181

  KS, UT

  Medicare reassignment Care Compare group NPD
• Kane County Human Resource Special Service District

  dba Kane County Hospital

  • General Acute Care Hospital
  • Kanab, UT
  • NPI 1043380991
  Medicare reassignment Care Compare group NPD
• Lower Umpqua Hospital District

  • Critical Access Hospital
  • Reedsport, OR
  • NPI 1003874819
  Medicare reassignment Care Compare group NPD
• Medlink Management Services Inc

  dba Lake Butler Hospital

  • Critical Access Hospital
  • Lake Butler, FL
  • NPI 1013972272
  Medicare reassignment Care Compare group
• Castro County Hospital District

  dba Plains Memorial Hospital

  • Critical Access Hospital
  • Dimmitt, TX
  • NPI 1033118716
  Medicare reassignment NPD
• Castro County Hospital District

  dba Plains Memorial Hospital

  • Emergency Care Clinic/Center
  • Dimmitt, TX
  • NPI 1891828059
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baker County Medical Services Inc

  • Rural Acute Care Hospital
  • Macclenny, FL
  • NPI 1104926401
  Care Compare affiliation
• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Care Compare affiliation
• Gonzales Healthcare Systems

  dba Memorial Hospital

  • Rural Acute Care Hospital
  • Gonzales, TX
  • NPI 1932108214
  Care Compare affiliation
• Kane County Human Resource Special Service District

  dba Kane County Medical Clinic

  • Family Medicine Physician
  • Kanab, UT
  • NPI 1215001037

  Hospital

  Care Compare affiliation
• Kane County Human Resource Special Service District

  dba Kane county Hospital

  • Critical Access Hospital
  • Kanab, UT
  • NPI 1740519370
  Care Compare affiliation
• Yoakum Community Hospital

  • Critical Access Hospital
  • Yoakum, TX
  • NPI 1881697878
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1861726077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 N Sarah DeWitt Dr",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293311",
            "country_code": "US",
            "telephone_number": "816-800-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1979 W Ray Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244007",
            "country_code": "US",
            "telephone_number": "480-821-9404",
            "fax_number": "480-857-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 G St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974774112",
            "country_code": "US",
            "telephone_number": "816-800-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENWORTHY",
        "first_name": "DERIK",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "05-50096",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS21657",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-148473",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V3891",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "8833",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0074105",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "14225604-1204",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO220167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000254965",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503865",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z173125",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Kendall, PHARMD
• Amy Kennedy, LICSW
• Caroline Amy Kennedy, LSW
• Dawn Marie Kennedy, PT
• Mary Kathryn Kenning, PH.D.
• Gregory Edward Kenyherz, M.D.
• Alaine Keogh, RD
• Laura Jean Keogh, MA, LPC, LSC
• Reka Kerlin, LPCC
• Kailey Fargo Kern, DC

• Diagnostic Radiology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.

Verify at the official NPI Registry.