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Dr. Kimberly Hughes , MD

Pediatrics β€’ Saint Cloud, MN

Active NPI 1689165987 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1900 Centracare Cir Ste 1300
Saint Cloud, MN 563035000

Call 3206543610 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1900 Centracare Cir Ste 1300

Saint Cloud, MN 563035000

Telephone 3206543610
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Centracare Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Minnesota Medical School

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Hughes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Hughes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Cloud and Minnesota

26 active clinicians are listed under Pediatrics with a practice address in Saint Cloud, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

0% of these 26 clinicians have the CMS telehealth indicator.

15.4% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 132883

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210812003684

Enrollment State Jurisdiction

MN

PECOS Control ID

5799189783

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Centracare Clinic

1200 6th Ave N, St Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th N Ave, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Clinic

1900 Centracare Cir, Saint Cloud, MN 563035000

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1649432204

Doctor of Osteopathic Medicine (D.O.)

NPI 1558320044

Doctor of Medicine (M.D.)

NPI 1982831210

Doctor of Medicine (M.D.)

NPI 1518260876

Doctor of Medicine (M.D.)

NPI 1821662560

Doctor of Medicine (M.D.)

NPI 1487191664

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 07, 2021

Registered at 1900 CENTRACARE CIR STE 1300, SAINT CLOUD, MN 563035000 (Tel: 3206543610)

πŸ“
Updated Business Mailing Address December 07, 2021

Registered at 1900 CENTRACARE CIR STE 1300, SAINT CLOUD, MN 563035000 (Tel: 3206543610)

βœ…
NPI Profile Active May 22, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 22, 2018

Registered at 2450 RIVERSIDE AVENUE, 1ST FLOOR EAST BUILDING M136, MINNEAPOLIS, MN 55454 (Tel: 6126244477)

πŸ“
Business Mailing Address (Initial Record) May 22, 2018

Registered at 2450 RIVERSIDE AVENUE, 1ST FLOOR EAST BUILDING M136, MINNEAPOLIS, MN 55454 (Tel: 6126244477)

πŸ‘€
Provider Name / Credentials (Initial Record) May 22, 2018

Recorded as KIMBERLY HUGHES, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 22, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689165987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2018
Last Update: December 07, 2021
Sole Proprietor: Yes

Other Pediatrics Specialists in Saint Cloud

All Pediatrics Specialists in Saint Cloud

Mailing Address

1900 Centracare Cir Ste 1300

Saint Cloud, MN 563035000

Phone: 3206543610

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.