NPIMap

Individual provider Active NPI

Stephanie A Kivi, MD

  • Family Medicine Physician
  • Montgomery, MN
National Provider Identifier
1992750806
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38537 Issued in MN
Practice address
202 1St St S
Montgomery Medical
Montgomery, MN 56069-1602
Phone
(507) 364-5600
Fax
(507) 364-5686
NPI assigned
May 23, 2006
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38537 MN Primary

Addresses

Primary practice location

202 1St St S
Montgomery Medical
Montgomery, MN 56069-1602

Mailing address

301 2ND St NE
Suite 1
New Prague, MN 56071-1709
Phone (952) 758-4431

Other identifiers 1

IdentifierTypeStateIssuer
160017600MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skivi81857@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000276 MN Practitioner - Family Practice 1355441585 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic Health System-Southwest Minnesota RegionGroup PAC ID 4688585771, shared by 6 NPIs, 658 clinicians
Mayo Clinic Health System-St JamesGroup PAC ID 9537170352, shared by 3 NPIs, 77 clinicians

Practice addresses (Care Compare)

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261

301 2ND St NE
New Prague, MN 56071-1709
Phone (952) 758-4431

501 State St N
Waseca, MN 56093-2811
Phone (507) 835-1210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-St James CurrentSince Mar 30, 2020 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Mar 1, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Mar 1, 2026 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 28, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Dec 1, 2017 Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Mar 1, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 28, 2026 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients

Locations

1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351

32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

200 Alton Ave SE
New Prague, MN 56071
Phone (952) 758-3132

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

301 2nd St NE
Ste 1
New Prague, MN 56071

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

501 State St N
Waseca, MN 56093
Phone (507) 781-8176

Interoperability endpoints

  • Direct secure messaging: skivi81857@ehrdirect.mayoclinicmsg.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 9

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1992750806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 2ND ST NE",
            "address_2": "SUITE 1",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711709",
            "telephone_number": "952-758-4431",
            "fax_number": "952-758-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 1ST ST S",
            "address_2": "MONTGOMERY MEDICAL",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560691602",
            "telephone_number": "507-364-5600",
            "fax_number": "507-364-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVI",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "38537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160017600",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skivi81857@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "202 1st St S",
            "address_2": "Montgomery Medical",
            "city": "Montgomery",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560691602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, MN

Sources for this page

Verify at the official NPI Registry.