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

Kimara Linell Gustafson, MD, MPH

Individual provider Pediatrics Physician · NPI 1992949721

Kimara Linell Gustafson, MD, MPH is a Pediatric Medicine in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

717 Delaware St SE Ste 353
Minneapolis, MN 55414-2959
Phone: (612) 624-1164
Fax: (612) 625-2920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 53893 (MN)

Record details

NPI number1992949721
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedApril 23, 2009
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019
Mailing address3304 22nd Ave S, Minneapolis, MN 55407-5161

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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