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

Kavyamol Thyagarajan, DO

Individual provider Family Medicine Physician · NPI 1942793740

Kavyamol Thyagarajan, DO is a Family Practice in Roseville, Minnesota. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2018, 8 years ago. Practices with North Memorial Health Care, a 506-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
8
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
IL, MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1835 Cty Rd C Ste 150
Roseville, MN 55113-2723
Phone: (763) 581-0340
Fax: (763) 581-0346
Show map & directions

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

Additional practice locations (1)

  • 611 W Park St, Urbana, IL 61801-2529 — (217) 383-4645

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 69960 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125.072824 (IL)

Record details

NPI number1942793740
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 7, 2018
Last updated in NPPESSeptember 1, 2021
Certification dateAugust 16, 2021
Mailing address611 W Park St, Urbana, IL 61801-2529

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2018 (8 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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