IAN MICHAEL KLOTZ MD
NPI 1669221412
Student in an Organized Health Care Education/Training Program in Bloomington, MN

Active since May 15, 2024PECOS Enrolled
8170 33RD AVE S, BLOOMINGTON, MN 55425(952) 541-2802 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ian Michael Klotz Md NPPES

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

IAN MICHAEL KLOTZ MD (NPI 1669221412) is an individual student in an organized health care education/training program in Bloomington, Minnesota and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669221412
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIAN MICHAEL KLOTZCredential: MD
Location Address8170 33RD AVE SBloomington, MN 55425-4516
Mailing Address17139 Jonquil AveLakeville, MN 55044-9175 · (952) 649-2859
Sole ProprietorNo
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
NPI 1669221412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
8170 33RD AVE S, Bloomington, MN 55425

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ian Michael Klotz Md 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.

Clinic/Center (Multi-Specialty)
8170 33RD AVE S, MS 21110Q
MINNEAPOLIS, MN 55425
Student in an Organized Health Care Education/Training Program
8170 33RD AVE S
BLOOMINGTON, MN 55425
Internal Medicine
8170 33RD AVE S, MC21110Q
BLOOMINGTON, MN 55425
Nurse Practitioner
8170 33RD AVE S
BLOOMINGTON, MN 55425
Student in an Organized Health Care Education/Training Program
8170 33RD AVE S
BLOOMINGTON, MN 55425
Pharmacist
8170 33RD AVE S
BLOOMINGTON, MN 55425
Pharmacist
8170 33RD AVE S
BLOOMINGTON, MN 55425
Non-Pharmacy Dispensing Site
8170 33RD AVE S, MAILSTOP 21111B
MINNEAPOLIS, MN 55425

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 Ian Klotz's NPI number?

The NPI number for Ian Klotz is 1669221412. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Ian Klotz located?

Ian Klotz practices at 8170 33rd Ave S, Bloomington, MN 55425. The listed phone number is (952) 541-2802.

What is Ian Klotz's specialty?

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

Is Ian Klotz enrolled in Medicare?

Yes. Ian Klotz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Klotz was last updated on May 15, 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.