Individual provider Active NPI

John David Kee, MD

  • Pediatrics Physician
  • Rochester, MN
National Provider Identifier
1982282703
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
77271 Issued in MN
Practice address
5067 55TH St NW
Rochester, MN 55901-3809
Phone
(507) 292-7070
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77271 MN Primary

Addresses

Primary practice location

5067 55TH St NW
Rochester, MN 55901-3809

Mailing address

5067 55TH St NW
Rochester, MN 55901-3809
Phone (507) 292-7070

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
I20240704000744 MN Practitioner - Pediatric Medicine 8325449440 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Medical Center CurrentSince Aug 19, 2024 Accepting new patients
Olmsted Medical Center CurrentSince Aug 19, 2024 Accepting new patients

Locations

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

5067 55th St NW
Rochester, MN 55901
Phone (507) 292-7070

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

Interoperability endpoints

  • Direct secure messaging: jkee24301@direct.olmmed.org

Organizations & group practices 2

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1982282703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5067 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013809",
            "telephone_number": "507-292-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013809",
            "telephone_number": "507-292-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEE",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "77271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.