SUSAN ANNE KULDANEK M.D.
NPI 1417215658
Pediatrics - Pediatric Hematology-Oncology in Minneapolis, MN

Q: What is Susan Kuldanek's NPI number?

The NPI number for Susan Kuldanek is 1417215658. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Q: What is Susan Kuldanek's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kuldanek was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 25, 2012PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-5940(612) 813-6325 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 23, 2021, Jul 31, 2019, Jul 12, 2018 (3 updates tracked since 2018).

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About Susan Anne Kuldanek M.d. NPPES

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

SUSAN ANNE KULDANEK M.D. (NPI 1417215658) is an individual pediatric hematology-oncology provider in Minneapolis, Minnesota, licensed in Minnesota (69337) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417215658

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameSUSAN ANNE KULDANEKCredential: M.D.

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (612) 813-5940 · Fax (612) 813-6325

Phone(612) 813-5940

Fax(612) 813-6325

Sole ProprietorNo

Enumeration DateApril 25, 2012

Last NPPES UpdateJune 23, 20213 updates tracked since enumeration

NPPES CertifiedJune 23, 2021

✔ NPI 1417215658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in MN · 69337✔ Licensed in CO · 55654

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 55654 (CO)

2525 CHICAGO AVE, Minneapolis, MN 55404

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Secondary Practice Locations 2

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Location 213001 E 17th PlAurora, CO 80045 · Phone (303) 724-6031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Anne Kuldanek 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 Reassignment

Medicare enrollment records show Susan Kuldanek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care

Same address

Anatomic Pathology & Clinical Pathology

2525 CHICAGO AVE S
Minneapolis, MN 55404

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Children's Health Care
551 clinicians in this Medicare group

NPI 1053410928 (612) 813-6280

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

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.

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)