Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLYN KREBUSHEVSKI DO
NPI 1942837299
Pediatrics - Pediatric Cardiology in Rochester, MN

Q: What is Kaitlyn Krebushevski's NPI number?

The NPI number for Kaitlyn Krebushevski is 1942837299. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Kaitlyn Krebushevski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since March 26, 2020PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Mar 26, 2020 (2 updates tracked since 2020).

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About Kaitlyn Krebushevski Do NPPES

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

KAITLYN KREBUSHEVSKI DO (NPI 1942837299) is an individual pediatric cardiology provider in Rochester, Minnesota, licensed in Minnesota (73977) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1942837299

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameKAITLYN KREBUSHEVSKICredential: DO

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511 · Fax (507) 284-0702

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateMarch 26, 2020

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1942837299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MN · 73977

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 73977 (MN)

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 1101 Nicolls Rd Rm 40Stony Brook, NY 11794-0001 · Phone (631) 444-2020 · Fax (631) 444-2894

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)

Kaitlyn Krebushevski Do 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.

EMILY LEASURE MD

Internal Medicine