ZACHARY PATRICK KALTENBORN (M.D.) – Pediatrics Physician, NPI 1790077873

ZACHARY PATRICK KALTENBORN (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 58076 (MN). The NPI Number for ZACHARY PATRICK KALTENBORN (M.D.) is 1790077873

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY PATRICK KALTENBORN (M.D.)
NPI
1790077873
Phone
(612) 672-6000
Address
2450 Riverside Ave
Enumeration Date
9 May 2011
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516027500
Graduation Year
2011 (15 years ago)
PAC ID
3971823667
Group Practice PAC ID
2062306434
Professional Enrollment ID
I20150520001810
Address ID
MN551072226SA153XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Digital endpointsOther names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150520001810IInternal MedicineMNTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3318$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2615$0
32555Aspiration of fluid from chest cavity using imaging guidance1511$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 55454)

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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: 2062306434View full group profile
NameSpecialtyState
Physician AssistantMN
Certified Nurse Midwife (Cnm)MN
Mental Health CounselorMN
Certified Nurse Midwife (Cnm)MN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
-NJ
Family PracticeMN
Clinical Social WorkerFL
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is ZACHARY PATRICK KALTENBORN (M.D.)'s NPI number?
ZACHARY PATRICK KALTENBORN (M.D.)'s NPI is 1790077873 — the number used across U.S. healthcare to identify this provider.
Is ZACHARY PATRICK KALTENBORN (M.D.) shown as active in public data?
Registry records indicate ZACHARY PATRICK KALTENBORN (M.D.) maintains an active NPI.
What area of care is associated with ZACHARY PATRICK KALTENBORN (M.D.)?
ZACHARY PATRICK KALTENBORN (M.D.)'s record emphasizes Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is ZACHARY PATRICK KALTENBORN (M.D.) registered?
Use Minneapolis, Minnesota as the headline location for ZACHARY PATRICK KALTENBORN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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