DR. PAUL A KETTLER M.D.
NPI 1235194598
Internal Medicine in Saint Paul, MN
About Dr. Paul A Kettler M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL A KETTLER M.D. (NPI 1235194598) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (38222) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Croix Regional Medical Center, and maintains a secondary practice location in Burnsville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 8
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. Paul A Kettler 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
3Medicare enrollment records show Paul Kettler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Healtheast Medical Research Institute
- 2,361 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Saint Croix Falls, WI 54024
- Reassigned Medicare billing, Wisconsin enrollment
- 453 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 2
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.
St Croix Regional Medical Center
Critical Access Hospitals · Saint Croix Falls, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55103 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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT PAUL, MN 55103
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 Paul Kettler's NPI number?
The NPI number for Paul Kettler is 1235194598. It was assigned to this individual provider in the NPPES registry on April 19, 2006.
Where is Paul Kettler located?
Paul Kettler practices at 559 Capitol Blvd, Saint Paul, MN 55103. The listed phone number is (651) 326-2400.
What is Paul Kettler's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paul Kettler enrolled in Medicare?
Yes. Paul Kettler 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 Paul Kettler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kettler reassigns Medicare benefits to 3 organizations: Healtheast Medical Research Insititue (Saint Paul, MN), Fairview Health Services (Minneapolis, MN) and St. Croix Regional Medical Center (Saint Croix Falls, WI). 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 Paul Kettler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paul Kettler affiliated with any hospitals?
According to CMS data, Paul Kettler is affiliated with St Croix Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Paul Kettler was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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. Paul A Kettler, M.D. · NPI 1235194598
Internal Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1235194598 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 38222 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 559 CAPITOL BLVD, Saint Paul, MN 55103-2101
- **Phone:** (651) 326-2400 · **Fax:** (651) 326-2440
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Insititue (NPI 1417145517, Saint Paul, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); St. Croix Regional Medical Center (NPI 1043240922, Saint Croix Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1992
## Record status
- **NPPES last updated:** May 10, 2019
- **Other identifiers:** Other 08F53KE (MN); Other 4648605 (MN); Other HP17709 (MN); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1235194598) · Data from the CMS NPPES public registry.