KENNETH H SEGEL MD
NPI 1063496800
Radiology - Diagnostic Radiology in Edina, MN
About Kenneth H Segel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH H SEGEL MD (NPI 1063496800) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Illinois (036086105) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Ohio State University College Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth H Segel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Kenneth Segel reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Illinois enrollment
- 12 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Illinois enrollment
- 671 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Macomb, IL 61455
- Reassigned Medicare billing, Illinois enrollment
- 10 clinicians in this Medicare group
Olympia Fields, IL 60461
- Reassigned Medicare billing, Illinois enrollment
- 228 clinicians in this Medicare group
Vandalia, IL 62471
- Reassigned Medicare billing, Illinois enrollment
- 121 clinicians in this Medicare group
Seymour, IN 47274
- Reassigned Medicare billing, Illinois enrollment
Lewes, DE 19958
- Reassigned Medicare billing, Illinois enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 35
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILCox Medical Centers
Acute Care Hospitals · Springfield, MOCox Medical Center Branson
Acute Care Hospitals · Branson, MOSt Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINA, MN 55435
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Segel's NPI number?
The NPI number for Kenneth Segel is 1063496800. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is Kenneth Segel located?
Kenneth Segel practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1301.
What is Kenneth Segel's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kenneth Segel enrolled in Medicare?
Yes. Kenneth Segel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kenneth Segel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Segel reassigns Medicare benefits to 8 organizations: Virtual Radiologic Professionals, LLC (Edina, MN), Mercy Health System Corporation (Janesville, WI), Rockford Health Physicians (Rockford, IL), Remlo (Macomb, IL), Specialists In Medical Imaging Sc (Olympia Fields, IL) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Segel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Segel accept?
Health plans from Avera Health Plans, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Health Plan, Inc. and 1 other insurer list Kenneth Segel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kenneth Segel affiliated with any hospitals?
According to CMS data, Kenneth Segel is affiliated with Sarah Bush Lincoln Health Center, Cox Medical Centers, Cox Medical Center Branson and St Lukes Hospital Of Kansas City.
When was this NPI record last updated?
The NPPES record for Kenneth Segel was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.