KENNETH GERARD PALLAS M.D. NPI 1548203938

NPI Information

  • NPI: 1548203938
  • Provider Name: KENNETH GERARD PALLAS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14655 GALAXIE AVE
    APPLE VALLEY, MN
    ZIP 55124
  • Phone: (952) 432-6161

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NPI Details

Kenneth Gerard Pallas, M.D. is a family medicine in Apple Valley, MN with 47 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kenneth Gerard Pallas, M.D. NPI is 1548203938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

14655 GALAXIE AVE
APPLE VALLEY, MN
ZIP 55124-575
Phone: (952) 432-6161
Fax: (952) 432-7019

The NPI 1548203938 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, clotting time (HCPCS:85610)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Blood creatinine level (HCPCS:82565)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
  • Hepatitis c antibody screening, for individual at high risk and other covered indication(s) (HCPCS:G0472)
  • Blood count, hemoglobin (HCPCS:85018)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Blood potassium level (HCPCS:84132)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Vitamin d-3 level (HCPCS:82306)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 6/14/2006 and was last updated on 9/18/2007.

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
1207Q00000XFamily Medicine25885MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A96125MEDICARE UPINMINNESOTA
228263400MEDICAIDMINNESOTA

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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