Individual provider Active NPI

Steven J Kern, MD

  • Surgery Physician
  • Maple Grove, MN
National Provider Identifier
1922073428
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
42933 Issued in MN
Practice address
9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769
Phone
(763) 780-6699
Fax
(763) 420-0500
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 42933 MN Primary

Addresses

Primary practice location

9825 Hospital Dr Ste 105
Maple Grove, MN 55369-4769

Mailing address

9825 Hospital Dr
Suite 105
Maple Grove, MN 55369-4479
Phone (763) 780-6699

Other practice location 1

5700 Bottineau Blvd Ste 100
Crystal, MN 55429-3184
Phone (763) 780-6699

Other practice location 2

1700 Highway 25 N Ste 120
Buffalo, MN 55313-1930
Phone (763) 780-6699

Other practice location 3

11855 Ulysses St NE Ste 210
Blaine, MN 55434-4181
Phone (763) 780-6699

Other practice location 4

480 Osborne Rd NE Ste 100
Fridley, MN 55432-2781
Phone (763) 780-6699

Other practice location 5

3366 Oakdale Ave N Ste 200
Robbinsdale, MN 55422-2962
Phone (763) 780-6699

Other practice location 6

2600 39th Ave NE
Minneapolis, MN 55421-4379
Phone (763) 780-6699

Other practice location 7

1495 County Road 101 N
Plymouth, MN 55447-3078
Phone (763) 780-6699

Other practice location 8

15450 Highway 7 Ste 225
Minnetonka, MN 55345-3522
Phone (763) 780-6699

Other practice location 9

7600 France Ave S Ste 4100
Edina, MN 55435-6027
Phone (763) 780-6699

Other practice location 10

6565 France Ave S Ste 350
Edina, MN 55435-2159
Phone (763) 780-6699

Other practice location 11

7373 France Ave S Ste 408
Edina, MN 55435-4549
Phone (763) 780-6699

Other identifiers 1

IdentifierTypeStateIssuer
020001497MedicaidMN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000262 MN Practitioner - General Surgery 0042274615 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Creighton University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Specialists in General Surgery, LTDGroup PAC ID 2466416128, 17 clinicians

Practice addresses (Care Compare)

303 Catlin St
Buffalo, MN 55313-1947
Phone (763) 684-5100

9825 Hospital Dr
Maple Grove, MN 55369-4769
Phone (763) 780-6699

Hospital & facility affiliations

  • Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42933MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care Current Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Oct 26, 2019 Accepting new patients
Specialists in General Surgery, LTD Surgery CurrentSince Sep 1, 2000 Accepting new patients
North Memorial Health Care CurrentSince Aug 29, 2000 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Oct 26, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

4181 108th Ave NE
Blaine, MN 55449
Phone (763) 581-0555

11855 Ulysses St NE
Ste 210
Blaine, MN 55434
Phone (763) 587-7000

1700 Highway 25 N
Ste 120
Buffalo, MN 55313
Phone (763) 682-2268

303 Catlin St
Buffalo, MN 55313
Phone (763) 682-1212

9825 Hospital Dr
Ste 105
Maple Grove, MN 55369
Phone (763) 383-7818

9855 Hospital Dr
Ste 102B
Maple Grove, MN 55369
Phone (763) 581-5600

7373 France Ave S
Ste 408
Minneapolis, MN 55435
Phone (952) 831-8228

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

480 Osborne Rd NE
Ste 100
Minneapolis, MN 55432
Phone (763) 785-4500

6565 France Ave S
Ste 350
Minneapolis, MN 55435
Phone (952) 999-4049

9055 Springbrook Dr NW
Minneapolis, MN 55433
Phone (763) 780-9155

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

7600 France Ave S
Ste 4100
Minneapolis, MN 55435
Phone (952) 831-1551

5700 Bottineau Blvd
Ste 100
Minneapolis, MN 55429
Phone (763) 504-6500

15450 Highway 7
Ste 225
Minnetonka, MN 55345
Phone (612) 756-8008

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

1495 County Road 101 N
Plymouth, MN 55447
Phone (763) 476-6776

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000

3366 Oakdale Ave N
Ste 502
Robbinsdale, MN 55422
Phone (612) 588-0541

2600 39th Ave NE
Saint Anthony, MN 55421
Phone (612) 706-2690

310 Smith Ave N
Ste 180
Saint Paul, MN 55102
Phone (651) 241-7800

5354 Edgewood Dr
Saint Paul, MN 55112

Interoperability endpoints

  • Direct secure messaging: steven.kern@sgs.eclinicaldirectplus.com

Organizations & group practices 10

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 5

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1922073428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694479",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500"
        },
        {
            "country_code": "US",
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            "postal_code": "553694769",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Bottineau Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554293184",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Highway 25 N Ste 120",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131930",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11855 Ulysses St NE Ste 210",
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            "postal_code": "554344181",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Osborne Rd NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554322781",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3366 Oakdale Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222962",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 39th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554214379",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 County Road 101 N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554473078",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15450 Highway 7 Ste 225",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553453522",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 France Ave S Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554356027",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 France Ave S Ste 350",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352159",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7373 France Ave S Ste 408",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354549",
            "country_code": "US",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "42933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020001497",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.