Individual provider Active NPI

Kenneth William Baran, M.D.

  • Interventional Cardiology Physician
  • Saint Paul, MN
National Provider Identifier
1962485797
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
27798 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-4887
Fax
(651) 254-1603
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 27798 MN Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

225 Smith Ave N Ste 400
Saint Paul, MN 55102-2568
Phone (651) 290-0133

Other identifiers 2

IdentifierTypeStateIssuer
10553800MedicaidMN
30553800MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbaran90774@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040224000232 MN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9335046903 Reassigns benefits to 3 organizations
I20111108000209 WI Practitioner - Cardiovascular Disease (Cardiology) 9335046903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
George Washington University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7000

1700 University Ave W
6TH Floor W
Saint Paul, MN 55104-3727
Phone (651) 232-2273

45 10TH St W
Saint Paul, MN 55102-1062

Hospital & facility affiliations

  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213
  • Fairview Lakes Health Services Hospital, Wyoming, MN, CCN 240050

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Sep 27, 2011 Accepting new patients
Fairview Express Care CurrentSince Sep 28, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Sep 28, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
St. Joseph'S Medical Center CurrentSince Jun 12, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Insititue CurrentSince Sep 28, 2022 Accepting new patients
Fairview Express Care CurrentSince Sep 28, 2022 Accepting new patients
Fairview Health Services Past Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

Locations

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

14101 Fairview Dr
Ste 140
Burnsville, MN 55337

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

6401 University Ave NE
Minneapolis, MN 55432
Phone (763) 572-5706

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

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

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

6405 France Ave S
Ste W200
Minneapolis, MN 55435
Phone (952) 836-3700

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

255 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

225 Smith Ave N
Ste 400
Saint Paul, MN 55102
Phone (651) 241-7176

1600 Saint Johns Blvd
Ste 200
Saint Paul, MN 55109
Phone (651) 326-4327

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Interoperability endpoints

  • Direct secure messaging: kbaran90774@excellian.direct.allina.com
  • Direct secure messaging: kbaran190918@fairview.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1962485797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-4887",
            "fax_number": "651-254-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Smith Ave N Ste 400",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022568",
            "country_code": "US",
            "telephone_number": "651-290-0133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAN",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MN",
            "license": "27798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10553800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30553800",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbaran90774@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "225 Smith Ave N Ste 400",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.