Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roy Kagumba Kiberenge, MD

Individual provider Anesthesiology Physician · NPI 1215254784

Dr. Roy Kagumba Kiberenge, MD is an Anesthesiology in Minneapolis, Minnesota. Graduated from Vanderbilt University School of Medicine in 2010, 16 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group and accepts Medicare assignment. Licensed in Connecticut, Iowa, Massachusetts and Minnesota.

Years since qualifying
16
Trained at
Vanderbilt University School of Medicine
Licensed in
CT, IA, MA, MN
In the registry since
2010
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 E 28th St
Minneapolis, MN 55407-3723
Phone: (612) 863-4762
Fax: (612) 863-8425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X · Licence 62855 (MN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 055554 (CT)
Anesthesiology Physician Taxonomy 207L00000X · Licence 41888 (IA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 290680 (MA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 62855 (MN)

Record details

NPI number1215254784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2010
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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