KENNETH D ENGBERG MD
NPI 1952376527
Internal Medicine - Geriatric Medicine in Saint Paul, MN
About Kenneth D Engberg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH D ENGBERG MD (NPI 1952376527) is an individual geriatric medicine provider in Saint Paul, Minnesota, licensed in Minnesota (22842) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth D Engberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT PAUL, MN 55108
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 Kenneth Engberg's NPI number?
The NPI number for Kenneth Engberg is 1952376527. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is Kenneth Engberg located?
Kenneth Engberg practices at 2500 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 641-6200.
What is Kenneth Engberg's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Kenneth Engberg enrolled in Medicare?
Yes. Kenneth Engberg is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Engberg was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kenneth D Engberg, MD · NPI 1952376527
Geriatric Medicine physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1952376527 (Entity type: Individual)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** 22842 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 COMO AVE, Saint Paul, MN 55108
- **Phone:** (651) 641-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 21, 2019
- **Other identifiers:** Medicaid 720095100 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1952376527) · Data from the CMS NPPES public registry.