CALLEY A. LIDLE M.D.
NPI 1851513436
Pediatrics in St. Paul, MN

Q: What is Calley Lidle's NPI number?

The NPI number for Calley Lidle is 1851513436. It was assigned to this individual provider in the NPPES registry on May 3, 2007. The provider is also known as Calley A. Kennedy M.D..

Q: What is Calley Lidle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Calley Lidle was last updated on July 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 03, 2007PECOS Enrolled

233 GRAND AVENUE, ST. PAUL, MN 55102(651) 227-7806(651) 256-6707 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Calley A. Lidle M.d. NPPES

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

CALLEY A. LIDLE M.D. (NPI 1851513436) is an individual pediatrics provider in St. Paul, Minnesota, licensed in Minnesota (51175) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851513436

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCALLEY A. LIDLECredential: M.D.

Location Address233 GRAND AVENUESt. Paul, MN 55102-9658

Mailing Address233 Grand AvenueSt. Paul, MN 55102-9658 · (651) 227-7806 · Fax (651) 256-6707

Phone(651) 227-7806

Fax(651) 256-6707

Sole ProprietorNo

Enumeration DateMay 3, 2007

Last NPPES UpdateJuly 2, 2009

✔ NPI 1851513436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MN · 51175✔ Licensed in IL · 125050402✔ Licensed in WI · 52074-020

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.

233 GRAND AVENUE, St. Paul, MN 55102

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Other Names 1

Former Name (1)Calley A. Kennedy M.d.

Other Identifiers 1

Medicaid185153436MN

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 (PECOS)

Calley A. Lidle M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAMMI S PLOTNIK MD

Pediatrics

233 GRAND AVENUE
ST PAUL, MN 55102

Ramsey County (651) 227-7806

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 Calley Lidle's NPI number?

The NPI number for Calley Lidle is 1851513436. It was assigned to this individual provider in the NPPES registry on May 3, 2007. The provider is also known as Calley A. Kennedy M.D..

Where is Calley Lidle located?

Calley Lidle practices at 233 Grand Avenue, St. Paul, MN 55102. The listed phone number is (651) 227-7806.

What is Calley Lidle's specialty?

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

Is Calley Lidle enrolled in Medicare?

Yes. Calley Lidle is registered in the Medicare PECOS enrollment system.

What insurance does Calley Lidle accept?

Health plans from Medica and Sanford Health Plan list Calley Lidle 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 Calley Lidle was last updated on July 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.