Individual provider Active NPI

Kevin D Lind, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rochester, MN
National Provider Identifier
1942243993
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
814 Issued in MN
Practice address
210 9TH St SE Ste 1
Rochester, MN 55904-6400
Phone
(507) 288-3443
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 814 MN Primary

Addresses

Primary practice location

210 9TH St SE Ste 1
Rochester, MN 55904-6400

Mailing address

210 9TH St SE Ste 1
Rochester, MN 55904-6400
Phone (507) 288-3443

Other identifiers 1

IdentifierTypeStateIssuer
200160440AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090604000395 MN Practitioner - Podiatry 8628128188 Reassigns benefits to 1 organization
I20180320001421 WA Practitioner - Podiatry 8628128188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
814MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Allina Health System CurrentSince May 1, 2011 Accepting new patients
Fasa Family Wellness, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2018 Accepting new patients
Allina Health System Current Accepting new patients
Fasa Family Wellness PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2018 Accepting new patients
Fasa Family Wellness, PLLC Current Accepting new patients

Locations

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

7840 Vinewood Ln N
Maple Grove, MN 55369
Phone (763) 236-0200

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

825 Nicollet Mall
Ste 517
Minneapolis, MN 55402
Phone (612) 332-7720

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

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

1901 S Union Ave
Ste B3010
Tacoma, WA 98405
Phone (253) 272-2999

1610 Bishop Rd SW
Ste 101
Tumwater, WA 98512
Phone (360) 754-3338

1610 Bishop Rd SW
Ste 7
Tumwater, WA 98512
Phone (360) 754-3338

Interoperability endpoints

  • Direct secure messaging: drlind@direct.meditouchehr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1942243993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 9TH ST SE STE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046400",
            "telephone_number": "507-288-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 9TH ST SE STE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046400",
            "telephone_number": "507-288-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200160440A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.