Active NPI
Kelly Landeen, MD
- Otolaryngology Physician
- Woodbury, MN
National Provider Identifier
1902394406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 78338
- Practice address
- 217 Radio Dr
Woodbury, MN 55125-5805 - Phone
- (651) 702-0750
- Fax
- (651) 645-6166
- NPI assigned
- Apr 30, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 84952 | WI | |
| Otolaryngology Physician | 207Y00000X | 78338 | MN | Primary |
Addresses
Primary practice location
217 Radio Dr
Woodbury, MN 55125-5805
Mailing address
215 Radio Dr Ste 202
Woodbury, MN 55125-5822
Phone (651) 705-0750
Other practice location 1
11020 161st St W
Lakeville, MN 55044-6507
Phone (651) 702-0750
Other practice location 2
2651 Hillcrest Dr Ste 302
Hudson, WI 54016-9919
Phone (651) 702-0750
Other practice location 3
3460 Promenade Ave
Eagan, MN 55123-4404
Phone (651) 702-0750
Other practice location 4
3590 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 702-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Sanford School of Medicine of University of South Dakota, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
217 Radio Dr
Woodbury, MN 55125-5805
Phone (651) 702-0750
2651 Hillcrest Dr
Suite 302
Hudson, WI 54016-9919
Phone (651) 702-0750
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- Allina United Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78338 | MN | MD | Otolaryngology Physician |
| 84952 | WI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology & Head & Neck Surgery, P.a. | Otolaryngology | Current | Accepting new patients |
Locations
3460 Promenade Ave
Eagan, MN 55123
11020 161st St W
Lakeville, MN 55044
3590 Arcade St
Vadnais Heights, MN 55127
217 Radio Dr
Woodbury, MN 55125
215 Radio Dr
Ste 202
Woodbury, MN 55125
Phone (651) 867-9007
2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290
Organizations & group practices 1
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.
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1902394406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 RADIO DR STE 202",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255822",
"telephone_number": "651-705-0750",
"fax_number": "651-645-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255805",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166"
}
],
"practiceLocations": [
{
"address_1": "11020 161st St W",
"address_purpose": "LOCATION",
"city": "Lakeville",
"state": "MN",
"postal_code": "550446507",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2651 Hillcrest Dr Ste 302",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540169919",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3460 Promenade Ave",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551234404",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3590 Arcade St",
"address_purpose": "LOCATION",
"city": "Vadnais Heights",
"state": "MN",
"postal_code": "551277135",
"country_code": "US",
"telephone_number": "651-702-0750",
"fax_number": "651-645-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDEEN",
"first_name": "KELLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "84952",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "78338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.