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

Kellie L Mathis, MD

Individual provider Surgical Oncology Physician · NPI 1770563975

Kellie L Mathis, MD is a Colorectal Surgery (Proctology) in Rochester, Minnesota. Graduated from Texas Tech University Health Science Center School of Medicine in 2003, 23 years ago. Practices with Mayo Clinic, a 4,796-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 46790 (MN)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 46790 (MN)

Record details

NPI number1770563975
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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