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

Kerry Zajicek, MD

Individual provider Surgery Physician · NPI 1215290143

Kerry Zajicek, MD is an Anesthesiology in Edina, Minnesota. Graduated from University of Minnesota Medical School in 2012, 14 years ago. Practices with Southdale Anesthesiologists LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Iowa and Minnesota.

Years since qualifying
14
Trained at
University of Minnesota Medical School
Licensed in
IA, 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

6401 France Ave S
Edina, MN 55435-2104
Phone: (952) 924-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 1215290143 (MN)
Surgery Physician Taxonomy 208600000X · Licence R-9536 (IA)

Record details

NPI number1215290143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Southdale Anesthesiologists Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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