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TREVOR KILLEEN
NPI 1497442180
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 21, 2023PECOS Enrolled
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455(612) 624-8133 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trevor Killeen NPPES

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

TREVOR KILLEEN (NPI 1497442180) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497442180
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTREVOR KILLEEN
Location Address420 DELAWARE ST SE, MMC 609, MAYO D142Minneapolis, MN 55455
Mailing Address420 Delaware St Se, Mmc 609, Mayo D142Minneapolis, MN 55455 · (612) 624-8133
Phone(612) 624-8133
Sole ProprietorNo
Enumeration DateApril 21, 2023
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1497442180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trevor Killeen 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.

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.

KHALID AMIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Hennepin County (913) 827-3505
MELISSA RICHARDSON PA-C
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
DR. RAID SAID MOUSA YOUSEF M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7911
DR. DAVID YOUNG BALSER MD
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2661
ALEXANDER TROESTER
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
NIKITHA VOBUGARI MD
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0400
THOMAS HOUGHLAND MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5589
DR. ANUSHA L GOPALAM MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5454

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 Trevor Killeen's NPI number?

The NPI number for Trevor Killeen is 1497442180. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Trevor Killeen located?

Trevor Killeen practices at 420 Delaware St SE Mmc 609, Mayo D142, Minneapolis, MN 55455. The listed phone number is (612) 624-8133.

What is Trevor Killeen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Trevor Killeen enrolled in Medicare?

Yes. Trevor Killeen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trevor Killeen was last updated on May 20, 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.