1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Pediatrics
  6. NPI Profile

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

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: October 18, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kendra Gram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health Care
Same address
Pediatric Cardiology
2525 CHICAGO AVENUE SOUTH
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 551 clinicians in this Medicare group
NPI 1841738952 (612) 813-6000

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

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.

ANNE HAWKINS
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE, CSC 390
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6102
TIFFANIE J WOODS CPNP
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 874-1292
CHILDREN'S RESPIRATORY & CRITICAL CARE SPECIALISTS. P.A.
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. KELLY L. ROOD M.D.
Pediatrics (Pediatric Cardiology)
2530 CHICAGO AVE, STE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8800
ROD T TARRAGO M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
TRESSA G DYKSTRA CNP
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6300
ROBERT HAMPTON RICH MD
Surgery (Pediatric Surgery)
2530 CHICAGO AVE, #550
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8000
THE CHILDREN'S HEART CLINIC
Special Hospital
2530 CHICAGO AVE, SUITE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8813

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 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.

Where is Kendra Gram located?

Kendra Gram practices at 2530 Chicago Ave Suite 400, Minneapolis, MN 55404. The listed phone number is (612) 813-3300.

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.

Is Kendra Gram enrolled in Medicare?

Yes. Kendra Gram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kendra Gram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Gram reassigns Medicare benefits to Children's Health Care (Minneapolis, MN). The 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 Kendra Gram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendra Gram was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.