DR. ROY KAGUMBA KIBERENGE M.D.
NPI 1215254784
Anesthesiology - Critical Care Medicine in Minneapolis, MN
About Dr. Roy Kagumba Kiberenge M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROY KAGUMBA KIBERENGE M.D. (NPI 1215254784) is an individual critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (62855) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Vanderbilt University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Roy Kagumba Kiberenge M.d. 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
12Medicare enrollment records show Roy Kiberenge reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 246 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Chanhassen, MN 55317
- Reassigned Medicare billing, Minnesota enrollment
- 581 clinicians in this Medicare group
Le Sueur, MN 56058
- Reassigned Medicare billing, Minnesota enrollment
- 201 clinicians in this Medicare group
Arlington, MN 55307
- Reassigned Medicare billing, Minnesota enrollment
- 229 clinicians in this Medicare group
Lawrence, MA 01842
- Reassigned Medicare billing, Massachusetts enrollment
- 231 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
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 7
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
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 Roy Kiberenge's NPI number?
The NPI number for Roy Kiberenge is 1215254784. It was assigned to this individual provider in the NPPES registry on April 23, 2010.
Where is Roy Kiberenge located?
Roy Kiberenge practices at 800 E 28th St, Minneapolis, MN 55407. The listed phone number is (612) 863-4762.
What is Roy Kiberenge's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.
Is Roy Kiberenge enrolled in Medicare?
Yes. Roy Kiberenge 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 Roy Kiberenge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roy Kiberenge reassigns Medicare benefits to 12 organizations: Allina Health System (Minneapolis, MN), University Anesthesia Providers, LLC (Minneapolis, MN), Healtheast St. John's Hospital (Saint Paul, MN), Anesthesiology, P.A. (Robbinsdale, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN) and 7 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 Roy Kiberenge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roy Kiberenge accept?
Health plans from Taro Health list Roy Kiberenge 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 Roy Kiberenge affiliated with any hospitals?
According to CMS data, Roy Kiberenge is affiliated with M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Roy Kiberenge was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Roy Kagumba Kiberenge, M.D. · NPI 1215254784
Critical Care Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 23, 2010.
## Identity
- **NPI:** 1215254784 (Entity type: Individual)
- **Enumerated:** April 23, 2010
- **Primary specialty:** Anesthesiology - Critical Care Medicine · taxonomy 207LC0200X
- **State license:** 62855 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 E 28TH ST, Minneapolis, MN 55407-3723
- **Phone:** (612) 863-4762 · **Fax:** (612) 863-8425
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1053354985, Minneapolis, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); Anesthesiology, P.A. (NPI 1013960798, Robbinsdale, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** March 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215254784) · Data from the CMS NPPES public registry.