ZACHARY PATRICK KALTENBORN (M.D.) – Pediatrics Physician, NPI 1790077873
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,636 INTERNAL MEDICINE in MN
Provider Addresses for ZACHARY PATRICK KALTENBORN (M.D.)
2450 Riverside Ave
Minneapolis, MN 554541450
Phone: (612) 672-6000
Type: Location
8170 33RD AVE S
MINNEAPOLIS, MN 554254516
Phone: (651) 254-3456
Fax: (651) 254-9673
Type: Mailing
640 JACKSON STREET
ST. PAUL, MN 551012502
Phone: (651) 254-3456
Fax: (651) 254-9673
Type: Location
PO BOX 1309
8170 33RD AVE S MAIL STOP 21110Q
MINNEAPOLIS, MN 554254516
Phone: (651) 254-3456
Fax: (651) 254-9673
Type: Mailing
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: 2015-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150520001810 | I | Internal Medicine | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 33 | 18 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | 15 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 15 | 11 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 55454)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Mental Health Counselor | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Certified Nurse Midwife (Cnm) | MN | |
| Physician Assistant | MN | |
| - | NJ | |
| Family Practice | MN | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | MN |
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