Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kenneth Wayne Dodd, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1477811610

Kenneth Wayne Dodd, MD practises Emergency Medicine in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2012, 14 years ago. Practices with Suburban Emergency Associates PA, a 19-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
14
Trained at
University of Minnesota Medical School
Licensed in
IL, MN
In the registry since
2012
Specialties on file
2
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

715 S 8th St
Minneapolis, MN 55404-7530
Phone: (612) 873-6963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-5354
  • 701 Park Avenue, Minneapolis, MN 55415 — (612) 873-3000

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 57200 (MN)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036145260 (IL)

Record details

NPI number1477811610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2012
Last updated in NPPESDecember 19, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Suburban Emergency Associates Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients105
Services billed 265 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Suburban Emergency Associates PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.

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