NATHANIEL S KREYKES (M.D.) – Pediatrics Physician, NPI 1609818061

NATHANIEL S KREYKES (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. 45565 (MN). The NPI Number for NATHANIEL S KREYKES (M.D.) is 1609818061

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL S KREYKES (M.D.)
NPI
1609818061
Phone
(612) 813-8000
Address
2530 CHICAGO AVE
Enumeration Date
11 June 2006
Last Update Date
9 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6512206040
Graduation Year
2000 (26 years ago)
PAC ID
1254225139
Group Practice PAC ID
3678477544
Professional Enrollment ID
I20040211000735
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for NATHANIEL S KREYKES (M.D.)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    SUITE 550

    MINNEAPOLIS, MN 554044289

    Phone: (612) 813-8000

    Fax: (612) 813-8005

    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: 2022-12-07

PECOS data refreshed: 2026-06-15

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
I20040211000735IPediatric MedicineMNTBD
I20221207002964IPediatric MedicineNDTBD

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 55404)

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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: 3678477544View full group profile
NameSpecialtyState
Pediatric MedicineMT
Pediatric MedicineMN

Reviews

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Frequently asked questions

What federal number belongs to NATHANIEL S KREYKES (M.D.)?
The federal identifier for NATHANIEL S KREYKES (M.D.) is NPI 1609818061.
Is NATHANIEL S KREYKES (M.D.) currently active in the NPI registry?
CMS-published data lists NATHANIEL S KREYKES (M.D.) as an active registrant.
What field does NATHANIEL S KREYKES (M.D.) work in?
You can think of NATHANIEL S KREYKES (M.D.) as practicing within Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is NATHANIEL S KREYKES (M.D.)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for NATHANIEL S KREYKES (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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