KATHLEEN KENNEDY MILLER MD
NPI 1760801088
Pediatrics in Minneapolis, MN
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Kennedy Miller Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kathleen Miller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 15 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 62 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kathleen Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Miller reassigns Medicare benefits to 3 organizations: Regents Of The University Of Minnesota (Minneapolis, MN), Childrens Health Care (Minneapolis, MN) and Children's Clinic Network (Edina, MN). Each 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 Kathleen Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Miller accept?
Health plans from HealthPartners 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 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.
# Kathleen Kennedy Miller, MD · NPI 1760801088
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 15, 2014.
## Identity
- **NPI:** 1760801088 (Entity type: Individual)
- **Enumerated:** April 15, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 63437 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 CHURCH ST SE, Minneapolis, MN 55455-0222
- **Phone:** (612) 625-8400 · **Fax:** (612) 677-3211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Minnesota (NPI 1295948818, Minneapolis, MN); Childrens Health Care (NPI 1053410928, Minneapolis, MN); Children's Clinic Network (NPI 1578830733, Edina, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** November 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760801088) · Data from the CMS NPPES public registry.