KRISTIN MARIT DISORI M.D.
NPI 1871869966
Pediatrics in Minneapolis, MN
About Kristin Marit Disori M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN MARIT DISORI M.D. (NPI 1871869966) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (71403) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kristin Marit Disori M.d. 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
2Medicare enrollment records show Kristin Disori reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Onalaska, WI 54650
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 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 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Kristin Disori's NPI number?
The NPI number for Kristin Disori is 1871869966. It was assigned to this individual provider in the NPPES registry on March 22, 2012. The provider is also known as Kristin Marit Mawk.
Where is Kristin Disori located?
Kristin Disori practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 625-6678.
What is Kristin Disori's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kristin Disori enrolled in Medicare?
Yes. Kristin Disori 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 Kristin Disori's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Disori reassigns Medicare benefits to 2 organizations: Fairview Health Services (Minneapolis, MN) and Gundersen Lutheran Medical Center, Inc (Onalaska, WI). 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 Kristin Disori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kristin Disori affiliated with any hospitals?
According to CMS data, Kristin Disori is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Kristin Disori was last updated on June 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kristin Marit Disori, M.D. · NPI 1871869966
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 22, 2012.
## Identity
- **NPI:** 1871869966 (Entity type: Individual)
- **Enumerated:** March 22, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 71403 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 625-6678
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Health Services (NPI 1013994359, Minneapolis, MN); Gundersen Lutheran Medical Center, Inc (NPI 1225372923, Onalaska, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871869966) · Data from the CMS NPPES public registry.