Kevin Daniel Chodnicki, M.D.
Individual provider Active NPI Ophthalmology Physician · Austin, MN
NPI 1962866632 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1962866632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 62490 (MN)
- Practice address
- 1000 1St Dr NW
Austin, MN 55912-2941 - Phone
- (507) 433-7351
- NPI assigned
- Apr 8, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Maryland School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic
Mayo Clinic Health System-Southeast Minnesota Region
Practice addresses (Care Compare)
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
Hospital & facility affiliations
- Mayo Clinic Health System - Albert Lea and Austin
- Mayo Clinic Hospital Rochester
- Mayo Clinic Health System - Waseca
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 100 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170801000292 | MN | Practitioner - Ophthalmology | 2466744974 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 282966 | MA | |
| Ophthalmology Physician | 207W00000X | 62490 | MN | Yes |
Addresses
Primary practice location
1000 1St Dr NW
Austin, MN 55912-2941
Mailing address
1000 1St Dr NW
Austin, MN 55912-2941
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3412
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kchodnicki110102@ehrdirect.mayoclinicmsg.org |
Other providers in Austin, MN
- Ann Chamberlin
- Jill Lorraine Chao
- Erica Rose Chavie
- Vijay Chawla
- Angela Lynn Chisholm
- Victoria Charlie Choi
- Michelle A Christenson
- Rheanna Kay Clark
- Mitchell Robert Cleghorn
- Laura Ann Clemence
All providers in Austin, MN · Ophthalmology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.