KENNETH WAYNE DODD MD
NPI 1477811610
Internal Medicine - Critical Care Medicine in Minneapolis, MN
About Kenneth Wayne Dodd Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH WAYNE DODD MD (NPI 1477811610) is an individual critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (57200) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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 Wayne Dodd 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
4Medicare enrollment records show Kenneth Dodd reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55487
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Shakopee, MN 55379
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Suburban Emergency Associates PA
- 37 clinicians in this Medicare group
Crosby, MN 56441
- Reassigned Medicare billing, Minnesota enrollment
- 224 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- Also billed through NPI 1629441027 (Illinois)
- 4,870 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 6
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNHennepin County Medical Center
Acute Care Hospitals · Minneapolis, MNSt Francis Regional Medical Center
Acute Care Hospitals · Shakopee, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 55404
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 Dodd's NPI number?
The NPI number for Kenneth Dodd is 1477811610. It was assigned to this individual provider in the NPPES registry on April 25, 2012.
Where is Kenneth Dodd located?
Kenneth Dodd practices at 715 S 8th St, Minneapolis, MN 55404. The listed phone number is (612) 873-6963.
What is Kenneth Dodd's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Kenneth Dodd enrolled in Medicare?
Yes. Kenneth Dodd 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 Dodd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Dodd reassigns Medicare benefits to 4 organizations: Hennepin Healthcare System, Inc (Minneapolis, MN), Suburban Emergency Associates, P.A. (Shakopee, MN), Cuyuna Regional Medical Center (Crosby, MN) and Lutheran General Hospital (Park Ridge, IL). 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 Dodd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenneth Dodd affiliated with any hospitals?
According to CMS data, Kenneth Dodd is affiliated with North Memorial Health Hospital, Hennepin County Medical Center and St Francis Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kenneth Dodd was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Kenneth Wayne Dodd, MD · NPI 1477811610
Critical Care Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 25, 2012.
## Identity
- **NPI:** 1477811610 (Entity type: Individual)
- **Enumerated:** April 25, 2012
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 57200 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 715 S 8TH ST, Minneapolis, MN 55404-7530
- **Phone:** (612) 873-6963
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Hennepin Healthcare System, Inc (NPI 1528361573, Minneapolis, MN); Suburban Emergency Associates, P.A. (NPI 1134173628, Shakopee, MN); Cuyuna Regional Medical Center (NPI 1538143896, Crosby, MN); Lutheran General Hospital (NPI 1801809306, Park Ridge, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2012
## Record status
- **NPPES last updated:** December 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477811610) · Data from the CMS NPPES public registry.