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

Kim Tillemans, DO

Individual provider Family Medicine Physician · NPI 1306935317

Kim Tillemans, DO is a Family Practice in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006
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.

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Practice location Address checks out

1020 W Broadway Ump Broadway Family Medicine Urgent Care
Minneapolis, MN 55411
Phone: (612) 302-8275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 47806 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 47806 (MN)

Record details

NPI number1306935317
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address420 Delaware Street Se, University Of Minnesota Physicians, Minneapolis, MN 55455

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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