1. Home
  2. Directory
  3. Minnesota
  4. Brooklyn Center
  5. Internal Medicine
  6. NPI Profile

KIDNEY SPECIALISTS OF MINNESOTA, PA
NPI 1629010228
Internal Medicine - Nephrology in Brooklyn Center, MN

Active since June 11, 2006CLIA 24D0401582 · Waiver
6200 SHINGLE CREEK PKWY, SUITE 260, BROOKLYN CENTER, MN 55430(763) 561-5349 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kidney Specialists Of Minnesota, Pa NPPES

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

KIDNEY SPECIALISTS OF MINNESOTA, PA (NPI 1629010228), doing business as Kidney Disease & Critical Care Assoc., Pa, is a healthcare organization registered as a nephrology in Brooklyn Center, Minnesota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Patty Buer, Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1629010228
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY SPECIALISTS OF MINNESOTA, PA
Location Address6200 SHINGLE CREEK PKWY, SUITE 260Brooklyn Center, MN 55430-2128
Mailing Address6200 Shingle Creek Pkwy Ste 260Brooklyn Center, MN 55430-2128 · (763) 561-5349
Phone(763) 561-5349
Organization SubpartNo
Authorized OfficialPatty BuerFinance Manager · (763) 561-5415
Enumeration DateJune 11, 2006
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1629010228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6200 SHINGLE CREEK PKWY, Brooklyn Center, MN 55430
Open in Google Maps ↗

Other Names 1

Former Legal Business NameKidney Disease & Critical Care Assoc., Pa

Other Identifiers 11

Other3100002MN · Medica Primary
Medicaid7764930SD
Medicaid879710200MN
Medicaid2109926OH
OtherCP7137MN · Railroad Medicare
Medicaid16530ND
Medicaid32722000WI
Other361MN · Healthpartners
Other12416KIMN · Bcbsmn
Medicaid279363181IL
OtherC01015MN · Wps Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney Specialists Of Minnesota, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Kidney Specialists Of Minnesota, PA, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nephrology24
Nurse Practitioner7
Internal Medicine1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 33
Brady Brabec
Nephrology
NPI 1124343785
6200 SHINGLE CREEK PKWY STE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Abrar Khan, M.D.
Nephrology
NPI 1679972129
6200 SHINGLE CREEK PKWY # 260
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Muktar Omar, NP
Nurse Practitioner
NPI 1689529505
6200 SHINGLE CREEK PKWY STE 260
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Mary Prescott, NP
Nurse Practitioner
NPI 1881007110
6200 SHINGLE CREEK PKWY SUITE 300
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Marc Weber, MD
Nephrology
NPI 1205940798
6200 SHINGLE CREEK PKWY SUITE 260
Brooklyn Center, MN 55430
(763) 561-5349
✔ PECOS✔ Accepts MedicareSame address
George Canas, M.D.
Nephrology
NPI 1922025774
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Stacy Chang, MSN, APRN, CNP
Nurse Practitioner
NPI 1245896919
6200 SHINGLE CREEK PKWY STE 260
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Carl Dean, M.D.
Nephrology
NPI 1427285030
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
John Gray, M.D.
Nephrology
NPI 1619998499
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Sandeep Gupta, M.B., B.S.
Nephrology
NPI 1437183084
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Kaitlin Hellie, MD
Nephrology
NPI 1598285348
6200 SHINGLE CREEK PKWY STE 260
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Anna Krieger, MD
Nephrology
NPI 1700440112
6200 SHINGLE CREEK PKWY STE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Maxwell Leither
Nephrology
NPI 1538459755
6200 SHINGLE CREEK PKWY STE 250
Brooklyn Center, MN 55430
(763) 561-5349
✔ PECOS✔ Accepts MedicareSame address
Bradley Nelson, CNP
Nurse Practitioner
NPI 1083008924
6200 SHINGLE CREEK PKWY STE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Brett Nyholm, M.D.
Nephrology
NPI 1255305355
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Marissa O'keeffe, MD
Nephrology
NPI 1689133597
6200 SHINGLE CREEK PKWY STE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Kyle Onan, DO
Nephrology
NPI 1568670867
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 561-5986
✔ PECOS✔ Accepts MedicareSame address
Daniel Ries, M.D.
Nephrology
NPI 1699796326
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Michael Somermeyer, M.D.
Nephrology
NPI 1023038981
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
Orvin Visaya, M.D.
Nephrology
NPI 1235156118
6200 SHINGLE CREEK PKWY SUITE 250
Brooklyn Center, MN 55430
(763) 544-0696
✔ PECOS✔ Accepts MedicareSame address
See all 33 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0401582

Kidney Specialists Of Minnesota · Brooklyn Center, MN
Active · expires Aug 31, 2028
CLIA Number24D0401582
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAllison Buffington
Laboratory Phone(763) 561-5349
Laboratory LocationKidney Specialists Of Minnesota6200 Shingle Creek Parkway Ste 250, Brooklyn Center, MN 55430
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kidney Specialists Of Minnesota, PA's NPI number?

The NPI number for Kidney Specialists Of Minnesota, PA is 1629010228. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider was formerly known as Kidney Disease & Critical Care Assoc., PA.

Where is Kidney Specialists Of Minnesota, PA located?

Kidney Specialists Of Minnesota, PA is located at 6200 Shingle Creek Pkwy Suite 260, Brooklyn Center, MN 55430. The listed phone number is (763) 561-5349.

What is Kidney Specialists Of Minnesota, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kidney Specialists Of Minnesota, PA enrolled in Medicare?

Yes. Kidney Specialists Of Minnesota, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Specialists Of Minnesota, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 4 Medicare specialties reassign their Medicare billing to Kidney Specialists Of Minnesota, PA. A 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 the clinician's services. The largest specialties are Nephrology (24), Nurse Practitioner (7) and Internal Medicine (1). Of these, 20 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kidney Specialists Of Minnesota, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0401582) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney Specialists Of Minnesota, PA accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Medica list Kidney Specialists Of Minnesota, PA 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.

When was this NPI record last updated?

The NPPES record for Kidney Specialists Of Minnesota, PA was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.