KENDRA LYNN GRAM M.D.
NPI 1942422787
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Q: What is Kendra Gram's NPI number?

The NPI number for Kendra Gram is 1942422787. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Kendra Gram's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Gram was last updated on February 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 02, 2007PECOS Enrolled

2530 CHICAGO AVE, SUITE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kendra Lynn Gram M.d. NPPES

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

KENDRA LYNN GRAM M.D. (NPI 1942422787) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (49308) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942422787

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameKENDRA LYNN GRAMCredential: M.D.

Location Address2530 CHICAGO AVE, SUITE 400Minneapolis, MN 55404-4289

Mailing Address2530 Chicago Ave, Suite 400Minneapolis, MN 55404-4289 · (612) 813-3300 · Fax (612) 813-3349

Phone(612) 813-3300

Fax(612) 813-3349

Sole ProprietorNo

Enumeration DateMay 2, 2007

Last NPPES UpdateFebruary 22, 2011

✔ NPI 1942422787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MN · 49308

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2530 CHICAGO AVE, Minneapolis, MN 55404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Kendra Lynn Gram 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.

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.

STEVEN E HAUN M.D.

Pediatrics (Pediatric Critical Care Medicine)