KENNETH WAYNE DODD MD NPI 1477811610

NPI Information

  • NPI: 1477811610
  • Provider Name: KENNETH WAYNE DODD, MD
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 715 S 8TH ST
    MINNEAPOLIS, MN
    ZIP 55404
  • Phone: (612) 873-6963

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NPI Details

Kenneth Wayne Dodd, MD is a critical care medicine internal medicine in Minneapolis, MN with 14 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Kenneth Wayne Dodd, MD NPI is 1477811610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2012

The provider's business location address is:

715 S 8TH ST
MINNEAPOLIS, MN
ZIP 55404-530
Phone: (612) 873-6963

The NPI 1477811610 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 4/25/2012 and was last updated on 12/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care Medicine036145260ILLINOISNo
2207RC0200XInternal MedicineCritical Care Medicine57200MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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