1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Pediatrics
  6. NPI Profile

KATHLEEN KENNEDY MILLER MD
NPI 1760801088
Pediatrics in Minneapolis, MN

Active since April 15, 2014PECOS Enrolled
410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 625-8400(612) 677-3211 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Sep 11, 2025, Jun 8, 2021 and 3 more (6 updates tracked since 2017).

About Kathleen Kennedy Miller Md NPPES

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

KATHLEEN KENNEDY MILLER MD (NPI 1760801088) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (63437) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2014).

NPPES Registry Identity

NPI1760801088
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHLEEN KENNEDY MILLERCredential: MD
Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222
Mailing Address410 Church St SeMinneapolis, MN 55455-0222 · (612) 625-8400 · Fax (612) 677-3211
Phone(612) 625-8400
Fax(612) 677-3211
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateNovember 20, 20256 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1760801088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 63437
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
410 CHURCH ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Secondary Practice Location 1

Location 12525 Chicago AveMinneapolis, MN 55404-4518 · Phone (612) 813-6000

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Kennedy Miller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507163649
PECOS Enrollment IDI20180910002075
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. STEPHANIE GRADY PA & NP
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2612
RICHARD JON FEIST MD
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
REGENTS OF THE UNIVERSITY OF MINNESOTA
Clinic/Center (Student Health)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JEREMY ADAM GOLDBERG LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-1444
DR. SABA GHAZIMOGHADAM PH.D.
Psychologist (Counseling)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JOY L JOHNSON-LIND LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
MARY KATHERINE UTZ LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9194
MARILYN SUSAN JOSEPH MD
Obstetrics & Gynecology
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5187

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 Kathleen Miller's NPI number?

The NPI number for Kathleen Miller is 1760801088. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Kathleen Miller located?

Kathleen Miller practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-8400.

What is Kathleen Miller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Miller enrolled in Medicare?

Yes. Kathleen Miller is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Miller accept?

Health plans from HealthPartners and Medica list Kathleen Miller 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 Kathleen Miller 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 8 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.