ANTHONY KOHLENBERG M.D.
NPI 1033404348
Family Medicine in Shakopee, MN

Q: What is Anthony Kohlenberg's NPI number?

The NPI number for Anthony Kohlenberg is 1033404348. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Q: What is Anthony Kohlenberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 14, 2011PECOS Enrolled

4360 12TH AVE E, SHAKOPEE, MN 55379(651) 968-5300(651) 646-0205 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Aug 23, 2024, Apr 25, 2019 and 2 more (5 updates tracked since 2016).

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About Anthony Kohlenberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY KOHLENBERG M.D. (NPI 1033404348) is an individual family medicine provider in Shakopee, Minnesota, licensed in Minnesota (69261) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033404348

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANTHONY KOHLENBERGCredential: M.D.

Location Address4360 12TH AVE EShakopee, MN 55379-1955

Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925

Phone(651) 968-5300

Fax(651) 646-0205

Sole ProprietorNo

Enumeration DateJune 14, 2011

Last NPPES UpdateSeptember 10, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1033404348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 69261

Definition

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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 69261 (MN)

4360 12TH AVE E, Shakopee, MN 55379

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Kohlenberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Kohlenberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Orthopedics, Ltd.

19 mi

Occupational Medicine

1661 SAINT ANTHONY AVE
Saint Paul, MN 55104

Reassigned Medicare billing, Minnesota enrollment
197 clinicians in this Medicare group

NPI 1275684128 (651) 968-5300

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.

288 mi

Internal Medicine

W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
2,294 clinicians in this Medicare group

NPI 1568787448 (262) 255-2500

American Current Care Of Minnesota PC

836 mi

Urgent Care

5080 SPECTRUM DR STE 1200W
Addison, TX 75001

Reassigned Medicare billing, Minnesota enrollment
18 clinicians in this Medicare group

NPI 1548749286 (972) 364-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT ORTHOPEDICS, LTD

Orthopaedic Surgery