KENNETH D ENGBERG MD
NPI 1952376527
Internal Medicine - Geriatric Medicine in Saint Paul, MN

Active since February 17, 2006PECOS Enrolled
2500 COMO AVE, SAINT PAUL, MN 55108(651) 641-6200 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1952376527
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameKENNETH D ENGBERGCredential: MD
Location Address2500 COMO AVESaint Paul, MN 55108
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (651) 641-6200
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateOctober 21, 2019
NPI 1952376527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in MN · 22842
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

2500 COMO AVE, Saint Paul, MN 55108

Secondary Practice Location 1

Location 1401 Phalen Blvd, MC41103FSaint Paul, MN 55130-5302 · Phone (651) 254-7600 · Fax (651) 254-7623

Other Identifiers 1

Medicaid720095100MN

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).

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.

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.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$915.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
2500 COMO AVE
SAINT PAUL, MN 55108
Psychologist (Clinical)
2500 COMO AVE, MAIL STOP 31100A
ST PAUL, MN 55108
Internal Medicine
2500 COMO AVE, MAIL STOP 31100A
ST PAUL, MN 55108
Audiologist
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108
Surgery
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108
Internal Medicine
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108
Dietitian, Registered
2500 COMO AVE, MAIL STOP 31100A
ST PAUL, MN 55108
Psychologist (Clinical)
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952376527, enumerated as an "individual" on February 17, 2006.

The provider is located at 2500 COMO AVE SAINT PAUL, MN 55108 and the phone number is (651) 641-6200.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.