KELLY RENEE DIETZ MD
NPI 1295877702
Radiology - Diagnostic Radiology in Minneapolis, MN
About Kelly Renee Dietz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY RENEE DIETZ MD (NPI 1295877702) is an individual diagnostic radiology provider in Minneapolis, Minnesota, licensed in Minnesota (53312) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Minnesota Medical School (2006).
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
Kelly Renee Dietz 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
9Medicare enrollment records show Kelly Dietz reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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
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 University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Kelly Dietz's NPI number?
The NPI number for Kelly Dietz is 1295877702. It was assigned to this individual provider in the NPPES registry on February 12, 2007.
Where is Kelly Dietz located?
Kelly Dietz practices at 516 Delaware Street SE Umphysicians Imaging Center, Minneapolis, MN 55455. The listed phone number is (612) 624-1500.
What is Kelly Dietz's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kelly Dietz enrolled in Medicare?
Yes. Kelly Dietz 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 Kelly Dietz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Dietz reassigns Medicare benefits to 9 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Fairview Health Services (Minneapolis, MN) and 4 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 Kelly Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Dietz accept?
Health plans from Sanford Health Plan list Kelly Dietz 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 Kelly Dietz affiliated with any hospitals?
According to CMS data, Kelly Dietz is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Kelly Dietz was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kelly Renee Dietz, MD · NPI 1295877702
Diagnostic Radiology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1295877702 (Entity type: Individual)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 53312 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 DELAWARE STREET SE, UMPHYSICIANS IMAGING CENTER, Minneapolis, MN 55455-0341
- **Phone:** (612) 624-1500
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2006
## Record status
- **NPPES last updated:** March 26, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1295877702) · Data from the CMS NPPES public registry.