KENNETH K MASLONKA M.D.
NPI 1639170418
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Q: What is Kenneth Maslonka's NPI number?

The NPI number for Kenneth Maslonka is 1639170418. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Q: What is Kenneth Maslonka's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Maslonka was last updated on January 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment

2530 CHICAGO AVE STE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kenneth K Maslonka M.d. NPPES

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

KENNETH K MASLONKA M.D. (NPI 1639170418) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (36031) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1989).

NPPES Registry Identity

NPI1639170418

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameKENNETH K MASLONKACredential: M.D.

Location Address2530 CHICAGO AVE STE 400Minneapolis, MN 55404-4387

Mailing Address2530 Chicago Ave Ste 400Minneapolis, MN 55404-4387 · (612) 813-3300 · Fax (612) 813-3349

Phone(612) 813-3300

Fax(612) 813-3349

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1989

Enumeration DateAugust 3, 2005

Last NPPES UpdateJanuary 25, 2016

✔ NPI 1639170418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MN · 36031

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2530 CHICAGO AVE STE 400, Minneapolis, MN 55404

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Other Identifiers 1

Medicare UPING12197MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth K Maslonka M.d. 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.

PECOS PAC ID547236663

PECOS Enrollment IDI20050601000732

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.

ANDREW L OZOLINS M.D.

Pediatrics (Pediatric Critical Care Medicine)