Individual provider Active NPI

Karen R Kane, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Edina, MN
National Provider Identifier
1871503938
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
27105 Issued in MN
Practice address
3601 Minnesota Dr
Suite 600
Edina, MN 55435-5281
Phone
(952) 851-8200
Fax
(952) 851-8219
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27150 MN
Occupational Medicine Physician 2083X0100X 27150 MN
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 27105 MN Primary

Addresses

Primary practice location

3601 Minnesota Dr
Suite 600
Edina, MN 55435-5281

Mailing address

574 Prairie Center Dr Ste 135
Eden Prairie, MN 55344-7955
Phone (651) 639-9150

Other identifiers 1

IdentifierTypeStateIssuer
213788700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1871503938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 PRAIRIE CENTER DR STE 135",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447955",
            "telephone_number": "651-639-9150",
            "fax_number": "651-639-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR",
            "address_2": "SUITE 600",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355281",
            "telephone_number": "952-851-8200",
            "fax_number": "952-851-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "KAREN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "27150",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MN",
            "license": "27150",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MN",
            "license": "27105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213788700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.