KIRK RICHARD DORNFELD (MD) – Family Medicine Physician, NPI 1467412114

KIRK RICHARD DORNFELD (MD) is a healthcare provider. based in Owatonna, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 30090 (MN). The NPI Number for KIRK RICHARD DORNFELD (MD) is 1467412114

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
KIRK RICHARD DORNFELD (MD)
NPI
1467412114
Phone
(507) 451-1120
Address
2200 NW 26TH ST
Enumeration Date
26 March 2006
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5074337351
Graduation Year
1985 (41 years ago)
PAC ID
6507900024
Group Practice PAC ID
4385556703
Professional Enrollment ID
I20100222000956

Contacts

Secure Messaging
kdornfeld67833@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

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Provider Addresses for KIRK RICHARD DORNFELD (MD)

  • Northwest 26th Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550605503

    Phone: (507) 451-1120

    Fax: (507) 444-6287

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100222000956IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385556703View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIRK RICHARD DORNFELD (MD)?
KIRK RICHARD DORNFELD (MD) — NPI 1467412114 — is the standard way to identify this listing.
Is KIRK RICHARD DORNFELD (MD) still practicing?
KIRK RICHARD DORNFELD (MD) is currently listed as active in the public NPI registry.
What is KIRK RICHARD DORNFELD (MD) best known for clinically?
Directory data describes KIRK RICHARD DORNFELD (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KIRK RICHARD DORNFELD (MD)?
KIRK RICHARD DORNFELD (MD)'s geographic hint is Owatonna, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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