KEDZIE PODIATRY PLLC
NPI 1811863889
Podiatrist in Saint Paul, MN

Active since October 15, 2025
2680 E SNELLING SER DR, 260, SAINT PAUL, MN 55113(651) 636-5958 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kedzie Podiatry Pllc NPPES

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

KEDZIE PODIATRY PLLC (NPI 1811863889) is a healthcare organization registered as a podiatrist in Saint Paul, Minnesota and active in the NPI registry since October 2025. The organization lists Margaret Ellen Kedzie, Dpm, as its authorized official.

NPPES Registry Identity

NPI1811863889
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameKEDZIE PODIATRY PLLC
Location Address2680 E SNELLING SER DR, 260Saint Paul, MN 55113
Mailing Address2931 Lake BlvdNorth Saint Paul, MN 55109-1652 · (507) 676-2441
Organization SubpartNo
Authorized OfficialMargaret Ellen KedzieDpm · (507) 676-2441
Enumeration DateOctober 15, 2025
Last NPPES UpdateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1811863889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2680 E SNELLING SER DR, Saint Paul, MN 55113

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kedzie Podiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kedzie Podiatry PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1194890954
2680 SNELLING AVE NO SUITE 260
Roseville, MN 55113
(651) 636-5958
✔ PECOS0.1 mi
Podiatry
NPI 1437681947
2520 WHITE BEAR AVE N STE A
Maplewood, MN 55109
(651) 770-3891
✔ PECOS7.1 mi

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

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 Kedzie Podiatry PLLC's NPI number?

The NPI number for Kedzie Podiatry PLLC is 1811863889. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is Kedzie Podiatry PLLC located?

Kedzie Podiatry PLLC is located at 2680 E Snelling Ser Dr 260, Saint Paul, MN 55113. The listed phone number is (651) 636-5958.

What is Kedzie Podiatry PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kedzie Podiatry PLLC enrolled in Medicare?

Yes. Kedzie Podiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kedzie Podiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Kedzie Podiatry PLLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kedzie Podiatry PLLC was last updated on February 6, 2026. 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.