KENNETH J FARRELL (M.D.) – Anesthesiology Physician, NPI 1477544005

KENNETH J FARRELL (M.D.) is a healthcare provider. based in Duluth, Minnesota. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 34466 (MN). The NPI Number for KENNETH J FARRELL (M.D.) is 1477544005

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH J FARRELL (M.D.)
NPI
1477544005
Phone
(218) 786-8364
Address
400 E 3RD ST
Enumeration Date
2 November 2005
Last Update Date
29 December 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
9234112194
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20161110001334
Address ID
MN558051913DU502XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

969 ANESTHESIOLOGY in MN

Loading map...

Provider Addresses for KENNETH J FARRELL (M.D.)

  • 400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    ESSENTIA HEALTH DULUTH CLINIC

    DULUTH, MN 558051951

    Phone: (218) 786-8364

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2016-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040617000347IAnesthesiologyMNTBD
I20161110001334IAnesthesiologyWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
00142Anesthesia for lens surgery1413$0
00910Anesthesia for other procedure on urinary system through urethra1111$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

Loading plans...

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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify KENNETH J FARRELL (M.D.) with an NPI only?
You can start verification with NPI 1477544005 for KENNETH J FARRELL (M.D.), then check state licensing separately.
Does CMS list KENNETH J FARRELL (M.D.) as active?
Yes — KENNETH J FARRELL (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes KENNETH J FARRELL (M.D.)?
For research purposes, treat KENNETH J FARRELL (M.D.) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does KENNETH J FARRELL (M.D.) serve?
KENNETH J FARRELL (M.D.)'s listing highlights Duluth, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

JAMES GREGORY (MD)

Anesthesiology Physician
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
NPI: 1811999733

Unknown Individual

Anesthesiology Physician
ESSENTIA HEALTH DULUTH CLINIC
NPI: 1700872629

JASON SCOTT JOHNSON (M.D.)

Anesthesiology Physician
Mayo Memorial Building, 420, Southeast Delaware Street, Minneapolis, Hennepin County, Minnesota, 55455, United States
NPI: 1053302026

ANDREA L BENSON (M.D.)

Anesthesiology Physician
2017, East Superior Street, Endion, East Duluth, Duluth, Saint Louis County, Minnesota, 55812, United States
NPI: 1295701027

MARK L. GRIM (M.D.)

Anesthesiology Physician
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
NPI: 1609843911
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
NPI: 1124083233

DIANE M. MCCAFFREY (M.D.)

Anesthesiology Physician
University of Wisconsin Hospital and Clinics
NPI: 1386692879

DR. DONALD L LEAKE (MD)

Anesthesiology Physician
Saint Lukes Hospital, 915, East 1st Street, Duluth, Saint Louis County, Minnesota, 55805, United States
NPI: 1033168562

DR. NORMAN J BOUCHER (MD)

Anesthesiology Physician
Saint Lukes Hospital, 915, East 1st Street, Duluth, Saint Louis County, Minnesota, 55805, United States
NPI: 1114976552